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HomeMy WebLinkAboutPermit Electrical 1993-9-27 " - SPRINGFIELD . t submitted has the 0 OWl The, fOg!!OaWnidngd~~~!~~t ~:q1Jire specific land use zonm , . approval. I .,.;tJ A 225 r~r.o STREET \/~. SPRINGFIELD, OREGON 97477 Zoning INSPECTION REQUEST: 726-~769 t\ -7.."'1.J1"') OFFICE: 726-3759 b... fro. ""-::'_. AulhorizedSignature W' 1 eo........,... r..E SCHEDULE BELOII 1. LOCATION OF INSTALLATION -::? 2.bC> ~# 7? ~ &j2 .A"".z:::. . LEGAL DESCRIPTION /?--,:::S ~....,;z. 5"'-o-c;- / ePL7~ JOB DESCRIPTION ~,c-RWc~,7,;'~ O/Y'~.7'"' Permits are non-transferable and expire if work is not started within 180 days .of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor~C~ ~.a;j~ Address GUS 7 tl'n'J . CitY~f'O Phone..Ltj{P-t/fgSG superv'isor ct!cen.se Number ~ R3 Expiration Date 1(') - 1- q S Constr Contr. Number. 110 fi! fiq ., ELECTRICAL PERMIT APPLICATION City Job Number A. New Residential-Single or Multi-Family per dwelling Service Included: '93'1 ':? A::5 uni t. 'M.. cost~ 'P $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 I~ ~ Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling 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 C. Temporary Services or'Feeders Installation, Alteration or Relocation Expiration Date Ll.-dY -qLj Signature of superViS~i g Electr.iCian. . ~IYVY\QiLp .~ J~~ Owners Nam-2D.{\l~ ()(\ *, D. AddresQD ~ ~ CityN-\9Nl. Phon~ mINER :&sTALLATION 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t - $ 2. 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 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: <9- <7-93 /4yc;7 ....--:? ~ ..-r /' DATE: RECEIPT. I: RECEIVED BY: 5.. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . -::7/2. ....... / <? ' ......0 2'/ ':?hD