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HomeMy WebLinkAboutPermit Electrical 1995-3-9 CA:M?H1~ . 'ihefollowln r' '. '..'-,,: .',- ~.;:,i!l.> :!oning, and ~be~J~~ ~s su.bmmed,',las tho followinG .' ~)" ,. approval. equrre Specl"C Ja'EI;ECTRICAL PERMIT APPLICATION <.on'ng (~U ~ t""'C"\ 3- J ?_q$ City Job Number 7...) U u"'" '1J M.HPLETE PEE SCHEDULE BELOII 225 r4r.n STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3783- OFFICE: 726-3759 e Authorized Signature LOCATION OF INSTALLATION " ~ 7<""i J ..;..7ti? A.N1J7tJrP1L, Cr, 1. New Residential-Single or Hulti-Family per dwelling unit. Service Included: A. LEGAL DESCRIPTION 17lJ~ IS" 190 nlJ/)"(. Items Cost Sum $ 85.00 JOB DESCRIPTION FU:e.;r~ ,aFffN'~--J' 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Hodular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days. of issuance or if work is suspended for 'lBO days. $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY Services or Feeders Installation, Alterations or Relocation: B. Electrical Contractor ~R~ etA::(. Address Ro. ~ ;;L'7~5 Ci ty -E:z..k:. ~ Phone ~c:;; - ~~ Supervisor License Number ;? J... tf b.s ~~U),,(".. -:'~..:?'.r Expiration Date u:i/:::r" Constr Contr. Number <137,192- Expiration Date/:;..j 2./ /,... J r $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation C. $ 40.00 $ 55.00 $ BO.OO volts see "B" 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 S"l"~.~~:/i~El""l'l" Owners Name -~~ /:. above Branch Circuits D. New, Alteration or Extension Per Panel Address ~ $ 35.00 -J..S., G-<l One Ci.rcui t Each Add it i onal Circuit or with Service or Feeder Permit ~ $ City Phone 7-11 ~/ItJS' OlINER INSTALLATION 2: 90 -6,&00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 , Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. ~/_~ SUBTOTAL OF ABOVE q-/_ 5% State Surcharge + J?.. Z,DS" + /.1 ~ TOTAL 4.A, 2-~ , .1 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~ .:;it.'"5~ / 4-~"" '":) DATE:' RECEIPT' jI.: RECEIVED BY:' --? ,~- '7