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HomeMy WebLinkAboutPermit Electrical 1994-5-17 lf~~ t/~I! .. .' .' ..-. . . 'the following pro. ot requiro specific Ian zoning. and does n approval. /J 225 FIFTH STREET _ i I'i)/t/ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zon\n~, ! INSPECTION REQUEST: 726-3~C::D-~ I{ - Ci ty .22.b Number '9 '7/ '2t::: 2- OFFICE: 726-3759 Aulhorl%edSlgnature~OMPUrrE FEE SCHEDULE BELOY 1. LOC4\TIJlN OF INSTALLATION IQ04- -.Jrr\~l\Nj,rt, (, If\! \) A. New Residential-Single or d Multi~Family per dwelling unit. . LEGAL DESCRIPTION' Service Included: -/P~ ~..-t!,)Z-~"=it ~ ?~~ - I JOB DESCRIPTION I _".,t~ > hO(ft,~\Irmr) II II/OKw' Permits are non-tra~sferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.' Sum Cost Items $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor.f..J,~ P ~.crrrtl/l ,.4tm, I , Address P,O. ~ 14-21- Ci ty~ Phone 7 J././"-'1..aJJa . superv~sor LQgen.se Number 110 g".'\ $ 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 10 -I-t\c:; n ~i.i.q q - I -q J/- Expiration Date Temporary Services or'Feeders Installation, Alteration or Relocation C. Constr Contr. Number $ 40.00 $ 55,00 $ 80.00 see uB" above 200 amps or less 201 amps to 400 amps Over 401 to 600 amps ----- Over 600 amps or 1000 Nolts Expiration Date Si;:17e, :~2;;::Z;:~ · o~-;;a:e- iff~) ~ D. Branch Circuits New, Alteration or Extension Per Panel I q 04- t1n~.n n'\d ' lLJo..u Q' '. ho'ni~ J!t,J1 ~ Address $ 35.00 .~:1.00 One Circuit Each Additional Circuit or with Service or Feeder Permit I City $ 2 , 00 .1.,Qo OYNER INS ALLATION 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 The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: ::Vl.DO 1_....'H .:N::9 'C, 5. SUBTOTAL OF ABOVE ~State Surcharge 2,6/0 TOTAL . --------------------------------------- ~y7-~cy I 'C! 5..~-; _ -.. '/- DATE: RECEIl"r ,: RECEIVED BY: