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HomeMy WebLinkAboutPermit Electrical 1994-10-6 tl~ 225 FIFTH STREET' ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 1'htHolloWing project as s b ~ INSPECTION REQUEST: 726_3~~~~l.nd docs not req~ren;,~~~if~ar theeil~n90b Number ' OFFICE: 726-3759 (1 fi\) and Use . Zoninp ):..:../.3 . COMPLETE PEE SCREDULE DELOV 1. L?l~~N ~~~~~-O~~.~, il New ~esid:ntial-Single.or ~"'c;""'"ro ~Multl-FamllY per dvelhng unit. l1)'t5~~~~~ r/\4rxJ ", Serv~~~ Included: n JO,", DESCRIPT~OIf _ "l ~'j)HtU..L C')" Permits are non-transferable and expire if work is not started vi thin 180 days of issuance or if work is'suspended for lBO days. 2. CONTRACTOR INSTALLATION ONLY Electri~al Contractor , ~~~ Addressfl \~~ Clem ~A a.e1- CitysoL ('J. Phone r'}40~405G supe~\License Number ~\4~5 Expiration Date \ L) . l .0(0 'constr Contr. Number /\':='J\~ q 4.M.ct~ Expiration Date , Signature of Supervising Electrician ~11rlMOtlll ~ , City TALLATION The 'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~;~~-------~-----J7(?~:?':;-~~~----- RECEIPT II: ~_ I I a':J,Uc1 RECEIVED DY I fiB J ' ~- - 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manu!'d Home or Modular Dvelling 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 $"'~ $ 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 Branch Circuits $ 40.00 $ 55.00 $ BO.OO volts see "B" above New, Alteration or Extension Per Panel (~ One Circuit Each Additional Circuit or vith servic~~ or Feeder Permit ~ $ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAL ~ $ 35.00 2.00 f not included) $ 40.00 $.40.00 $ 20.00 $ 36~ '~, I~ -S::( ~