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HomeMy WebLinkAboutPermit Electrical 1994-5-5 (. "tp SPRINGFIELD... The followin9 project as submittad has the followi , 225 FIPTH STREET zoning, and does not require specific land um.ECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974T1'pproval. INSPECl'ION REQUEST: 726-3769 Zoning e,(" City Job Number 9419/ '" L OFFICE: 726-3759 ,.. S Dll - Date .... ."'1 T 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTAI.L4.'lM.Q~rize;:l Signature AJ. f\4 . '7 /s A~Vv> 57'-- A. New Kesloential-Single or , Multi~Family per dwelling unit. Service Included: , LEGAL DESCRIPTION /7/');]. 1)" "'? / /05"&7) JOB DESCRIPTION ,'/ ' >'/i?.re- F).~n td/re-rr..(dL&Pr' Permits are' non-transferable and expire if work is not started within 180 days 'of issuance or if work is suspended for 180 days. * Sum It ems Cost 1000 sq,ft. or less $ 85,00 Each additional 500 sq. ft or portion thereof, $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 2. CONTRACl'OR INSTALLATION ONLY B. Services or Feeders , ," r' Installation,' Alterations Electrical contractor~I'c,.;.o4'l;l EtR-c:;z::...d,r Relocation:, Address 210/ )lt~;. /~,., A #/' 200 amps or less _ / 201 amps to 400 amps City &o7-t?~ Phor{J[~- (3// 401 amps to 600 amps , / _' , , 601 amps to 1000 amps , Supervisor License Number. '59 z '7 5' Over 1000 amps/volts . Reconnect Only It} ~(-97 Expiration Date Constr Contr. Number f'~9t/cr, Expiration Date I..-b ~P5-' Signature of Supervising Electrician f"'~ ;;2~~~ .. ownersNa,me .!J/tz/d' c.krw~' D. . 1 Address City Phone OVNER INSTALLATION The installation is' being made on, property ,I own ,which is not intended for sale, "lease or rent. Owners, Signature: DATE: RECEII!T. I: ' RECEIVED BY: 'r-;-}<r /20&>.5(" "'- .-i/ .I/VL-. $ 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 .vo.Lts Branch Circuits $ 40.00 $ 55.00 $80.00 see "B" above New, Alteration or Extension Per Panel One Circuh' 't..-- $ 35.00 l5"': 0'0 ,Each Additional Circuifor wi'th Service , or Feeder. 'Permi t :r $ 2.00 ..k... - no t included) E. ,Miscellaneous (Service/feeder -Each installation Pump or, irrigation Sign/Outline Lightin~ ~imited Energy/Res , ,Lind ted Energy/ComD\ 5,. stiBTOTALOF'ABOVE ,5% 'State SurCharge "TOTAL '.' ' .,"' . ,..... $ 40.00 $ 40.00 $ 20.00 $36.60 .41,a() .? CI.) ~~os