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HomeMy WebLinkAboutPermit Electrical 1994-10-17 - -~ The folle>wlng project a. $ b It! d hQ , zoning, and doe. not req~'remSp:Ciflc "anthde toll approval. Use 225 ~"'~UJ STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zoning:d'De.- q4-\ \qIJ INSPEctION REQUEST: 726-3~ IO-17-9Lr . 'City Job Number "F) OFFICE: 726-3759 ./ Authorized Signature ~OHPLETE FEE SCHEDULE BELOV 1. \ I LOGATIm! OF ~ALLA!.~N ;... 'D".. .\ 0 lo~ \ 9 n 'j\l OJ t...Q.L 1~~lON \\rJnC) JO'B DESCRIPTIO~ . A ~~- I Q Jl 5LO) ('"VI Q,Ul\ i'r\. Permits are non-tra~erable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ! 2. CONTRAcrOR INSTALLATION ONLY B. Electrical contractor~"/A ~#/C Address :l7$'? ~~~a/ ' City &r.u:/ Phone. ~~-..?2?? Supervisor License Number .,25 -;2"-5 , . /()-73 / 7;j~ L / tJ--9.3 Expi'ration Date ., Constr Contr. Number Expiration Date , Signature of superv~n~ Electrician /2-//~ ~___~~ ovn~~QhQ ~~r Address \ t 0\ n::\ \ fu I -\ r\ 01\ ~,. Ci t~'\l" f\~hone ~ O~ INST~~ The. installation is being made on property I own which is not intended for sale, lease or ren t, ' Owners Signature: DATE: RECEIPT I: RECEIvED B': l\). r ~-.~4\~\\f)---. ~\-'_~' A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost Sum P5S ~ 1000 sq. ft. or less I $ 85,00 Each additional 500 sq, ft or portion \ thereof $ 15,00 Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps' or less . 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50,00 $ 60.00 $100.00 $130.00 $300,00 .$ 40,00 C. Temporary Services or'Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to. 400 amps Over 401 to 600 amps Over 600 amps or 1000 voits Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "BII above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2,00 E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40,00 20.00 36.00 not included) 5. $ $ $ $ III)~ F) _.. :J, lYl 4f ID5,CO SUBTOTAL OF ABOVE 5% State 'Surcharge TOTAL