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HomeMy WebLinkAboutPermit Electrical 1994-7-18 '. ..-.-.... SPI~FIELD -~'0 --- I......~ .... , .. The following project .. IU zoning. and doea nol ,equ,re;5 1110 land usa approval. ~ 225 FIFTH STREET Z I SPRINGFIELD, OREGON 97477 onn~ i I~ INSPECTION REQUEST: ~-3769'" ~(\ OFFICE: 726-3759 AuthorizedSlgnalUTll \ 1:\ 1. mT~{~~Q~: LEGAL DESCRIPTION . JOB DESCRIPTION ST~eeT ...'''...T<:. Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. ELECTRICAL PERMIT.APPLICATION Ci ty Job Number ~~rlPLETE FEE SCHEDULE BELOV 7f //J ~c/ Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor L~NT'L ELECT~I,-J:Nc..or Relocation: Address 3!,.,G,2C-. CEDAi2.. ~\LL<; Ci ty PLEA,f\/JT H-ILL. Phone. 72."- 0(",5<1 Supervisor License Number 3'1 q L .s Expiration Date ID-I- ct~- ., C. Temporary Services or'Feeders Installation, Alteration or Relocation Cons t r Con tr. Number '?? '1 Ie, l' C\ . Expiration Date 7-1'-I-Q3 Signature of Supervising Electrician <1,~ cf2' c€w-k- ~ Ovners Name CI''>' of sPt"-n Address Zz.s- tJ s-U Ci ty S{J.{:.a Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT 1: RECEIVED BY: . 7-/r;-)'~ / :s y~ r :() ~~ ~ 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D.. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit / Each Additional Circuit or vith Service or Feeder Permit I E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . 3p~~"'-<J $ 35.00 3S~ $ 2.00 Z~ not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 3 7 ce..... . /.~.':> 1./1 3'7'. 7(,