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HomeMy WebLinkAboutPermit Electrical 1994-3-21 .. . The following project es submitted has the followlng zoning, and doas not require apecillc land U88 225 FIFTH STREET approval.' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Zonlno (l;(!/ ~~~i~~IO~~E~~~T: bt~~3769 '?-4/-Q l-f Authorized Signature rJ.1""- 3 . 1. LOCATION OF INSTALLATION /1"7 'i5 ( fuA-fN SU?&<9-1 . A. LEGAL DESCRIFTION II 0')..'.)2.:>'-1) 03So() en IvJ(]}FKI~t4L-'~lt'T.I/?G=- JOB DESCRIPTION L .1/ .N. tHcl1'!:::SY ST hlflL::.. u Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. r:;) If. ;;;:;-~~O I '7fbF ,)\J! 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractort3}?/~~~ , Address1fDSqc:;GU t.IRi<:tts. Uk>. Cityh~G--d70'i,~e ~<.fJ-O;qb Supervisor License Number :59;;l.--SLG- - Expi ra t'ion Da te ro -I - 9::> .. Constr Contr. Number ?3'-t-(t,G, e. L(;:- c. Expiration Date 16 -(-9 cj Signature of Supervising Electrician .$. ~ Owners Nameli1ltR:0D4I~GD.6-0{fc. D. Address S-Un IiAfl..rN ST. City'3rIN-;.gGL.)) Phone~7~b-l:)5~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or ren.t. Owners Signature: --------------------------------------- DATE: RECEIrI W: RECEIVED BY: 3J~ Ii Cl':l I .;) (J J c::- OK Ci ty Job Number CJ~o';1f",'] New Residential-Single or ~ ;;;;~:;;;"~~::'::::" L .~ Items Cost Sum 1000 sq.ft. or less Bach additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ 40.00 Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ .2,00 . E. Miscellaneous (Service/feeder -Each installation' Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm . not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 S~.OO ,I ~o '31. /S') ~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL