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HomeMy WebLinkAboutPermit Electrical 1994-10-26 ,. 'rho tal/owing p ) . . 225 FIFTH STREET zoning, end do;~ ~~ ~ .~btnhtetf /\QftlIaIl&Ji~ PERMIT APPLICATION SPRINGFIELD, OREGON 97477 SPl'roval, sqW88pecffic land U"" (j) A \ \ 110 INSPEctION REQUEST: 726-3769 lonlno...s L r . City Job Number ~ "\ 0 U OFFICE: 726-3759 1. 1P'i4UOK.. OF ~~!;1J b!llo~~. 0 -.;:> ~ -$'..<:../coH'Pi:ETE FEE SCHEDULE BELOW ~~l) ~~\ I w j)~sidential-Single or . Hulti-Fam11Y ver dwelling unit. Service Included: I.~ D~~l1ION -J.:..JL.,)?-. I N..L) ~~IO[}].tX:P > Permits are non-tr~nsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ! 01111IL 2. CONTRActOR INSTALLATION ONLY B. Elect~ical contractor4J?"/A" cfik-#/C Add ress .J 7 $' ~ ,//:".POf.-.".,./' City ~/.u:/ Phone ~J/~-?2?? Supervisor Licen.se Number ..,75 -;2"-5 /t)-73 / 7:J':s- 2- / tJ-f .3 Expi"ration Date .. Constr Contr. Number Expi"ration Date Signature of Supervising Electrician . ~/~.~~~ . own~a'l!! ~.. _. Address~~~t') CityflJTO ~hone OWNER ALLATION Temporary Services or'Feeders Installation, Alteration or Relocation $ 40,00 4[) $ 55.00 $ 80.00 volts see "B" above 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder 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 C. 200 amps or less 201 amps to. 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 I New, Alteration or Extension Per Panel 9d One Ci rcui t \. , "1;5<" Each Additional . ~ Circuit or with Service or Feeder Permit The. installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. UJ . Z/J:J :-Cf.:J'. -:-1 ~. RE......L{'. I: J.-y'> '\.:' ' .......~ RECEIvED BY: ~ ~ ~ / -....L9Gw ~W-/)6.~~~ DATE: SUBTOTAL OF ABOVE 5% State sur~rKe Ill?,,'" 9D $ 35.00 $ 2,00 not included) $ 40,00 $ 40,00 $ 20.00 $3(0 40. _ NGU I. .,:,) C) .' ~.~