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HomeMy WebLinkAboutPermit Electrical 1993-11-1 (2) -, 7 S<60C> 4swv The followIng proJect ae. submnred :i3S i~1o.1! " 1-", 225 FIITH STREET zoning, Doa doe::! not req~e Sl."lct"'mc b. ~~9'flUCAL PERMIT APPLICATION :J SPRINGFIELD, OREGON 97477 opprovcl ~ n ;~\l ~'\ INSPECTION REQUEST: 726-3769 7.C~~M ~ CIty Job Number ~\ ~ ~~ OFFICE: 726-3759 ~ ' -ry ~tl? _ I _. I 3 . COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION.Q'1 lt~~ , \"\x 0.( A-STEe.... ~T ~2S/ :S-V--7i:-JS1n;;) '-M~New-ReSldentlal-Slngle or C I'\,.y CC;)~...n"'e Ac., /'- g'-i 7 Mul tl-Family per dwelling Un! t. LEGAL DESCRIPTION SerVlce Included: Items JOB DESCRIPTION COO rt..:H\. ~.~OOO sq. ft. or less Fvr-rtA. I?E ~-r/2.-61:?1 L-16J-f-T~~l j Each addl tlonal 500 "- ~ ~ sq. ft or portlon Perm1ts are non-transferable and expire thereof 1f work is not started w1th1n 180 days Each Manuf'd Home or of issuance or if work 1S suspended for Modular Dwelling 180 days. Service or Feeder Cost Sum $ 85.00 $ 15 00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Serv1ces or Feeders Installation, Alterat10ns ElectrIcal Contractor L~ ~~~~elr or Relocat1on: Address.. 3"l::,b7...b c...81O,q.e t+\LL, CI ty "PI..E11SAtJr I-t I Ll Phone 72...f::, raC;s4 Supervisor License Number 3l.....) <:12.. ~ ExpHat10n Date 1"t'l1 Dl I q~ 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 Constr Contr. Number g-L\~7q C. Temporary Serv1ces or Feeders Installation, Alteration or RelocatIon ExpiratIon Date 7-1,-/- Cf4 " . SIgnature of Supervising Electrician I ,j,_~ ~ \ -r~ .. ~ D. Owners Name L.. ,.Y nf:: ~ PlCrA\fJ:'f8LO Address CI ty Phone OVNER INSTALLATION The InstallatIon is beIng made on property I own whIch 1S not Intended for sale, lease or rent. Owners Signature: DATE~-----------T7--7~cr:~----------- RECEIPT J: LJ r - /\r / r) n q RECEIVED BY:~ ~ ) . / \ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Cucui ts S 40.00 $ 55.00 S 80 00 see liB" above New, Alterat10n or ExtenSIon Per Panel One CIrcu1t Each Add1 tlonal C1rcult or W1th SerVIce or Feeder PermIt $ 35 00 $ 2.00 Miscellaneous (Service/feeder -Each installatlon Pump or IrrIgation Slgn/Outllne L1ght1ng LIm1ted Energy/Res L1mi ted "'Energy/Comm sUB~~J}lnJfvVV0 5% State Surcharge TOTAL E. 5. not 1ncluded) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Go CO 1- 'j, '\ l)". ':.J I 0 /), "\