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HomeMy WebLinkAboutPermit Electrical 1994-8-3 ~ -. ... SPRINGFIELD ;~::::: 'I . Th f lIow1ng projecl BIl 8ubmmod ,-the followln ZO~h;'g. end does nol require 8peclflc land use 225 FIFTH STREET 8pproval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 -Zonmg INSPECTION REQUEST: 726-376!1 City Job Number ~'7'" //-S-/ OFFICE: 726-3759 OMe 1. ~ rt'~N OF INS'fI\L~tf~~ ~e if 1lY\ \J r\.ill. (~f~.J'{CL , LEGAL DESCRIPTION 1?~'~~"3'~~. <l!!)f'L'~ , 3. COMPLETE P~E SCHEDULE BELOV uni t. Cost Sum A. New Residential-Single or Multi~Family per dwelling Service Included: .,JOB DESCRI ION . rt~OOO sq.ft. or less $ 85.00 . / . \-ti\.L. () H\..dllSYl ach additional 500 sq. ft or portion Permits are non-traftsferable and expire thereof $ 15.00 if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling 180 days'-' Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractor~ 1J t o (lfllit. '1.:Jm ' Address_ P ,0 . ~q,9:')._J CitY~i\1m~~~ \ Phone-21J -~~3ln . Supervisor LPcen.se Number I b g to:::. Expiration Date W-l-<I':\ Constr Contr. Number .o:3~tJ.j Expiration Date q -I -l}.4-- Signature of Supervising Electrician 1~_~u7~~ Ir ~~- c - A- . Owners Name~ Qj\~ ll\l.' lJu~ Address ;1..1~ +k11~(\~c1~.9.jd. Cit~~d JPhone1+b-~'1qq u "'w' IN~AJiATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: 15- '"3'-91../ RECEIPT II: / Y /-1' "2- RECEIVED BY: /2_ -- - ..... -/' Items 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D.. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Add it ional Circuit or with Service or Feeder Permi t I $ 35.00 :l~.OO $ 2.00 ~,DO E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 3'1.0(:> ~ State Surcharge p, ,q {,., gO/o TOTAL . 'J,(f,Q h