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HomeMy WebLinkAboutPermit Electrical 1994-2-17 . . SPRINGFIELD The fol/owlng project ~ zoning, and does not :;~bmftted has the followi 225 FIFTH STREET approvel. Ire SPecific land "ttECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97471 Zoning-1dQQ q :;;>"'""70. . / INSPECTION REQUEST: 726~769 ;)/ I' Ci ty Job Number i.J-J t '-I OFFICE: 726-3759 to - n 'i':/ # Authorized Signal .~r.3. 1. LOCATION OF INSTALLATION ,J ure j;J-') Z-f,J()~ "l~O~A i3~~ i?f4. A. LEGAL DESCRIPTIO~ //(\::::>"7)L01 @)l::>2- JOB DES<iJUPTION ,_ Y\Dlll ~ili^OY. -\- ::2,f')y('(j.d-~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician .. -----r. c::::L '- L D- Owners Name, yr.AM.O S OJ CCj~vcr- Address 7...-fo(O~ .f.;b-,,,~ !f3,);:jq.P ed ""() O' II City ~J . Phone 77jA~L(b'Xl O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~. ~ ---~----~------~1------------------- DATE:' -Z~ \1-qLf RECEIPT I: 1 \ -I DC> RECEIVED BY: flu,,^ Q_ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi~Family per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.000:).W $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above. New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit 3- $ 2.00 &/50 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res ----- $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~OO 5% State Surcharge 1.... '60 TOTAL c::-,9,nO