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HomeMy WebLinkAboutPermit Signage 1994-6-14 . . SPRINGFIELD I'~ ,.."........ ~, r" ~j - ,. . '. - ._~ . zoning. r.Tld dc-co not roqwro sprn:nl': la!10 ~\W a;)p,oval. ~D 225 FIFTH STREET 7on,,'1.. _ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97471 (i-\/i--rr, Q ~ ~~~~O~2~~~r: 726-3~~.:,~~:(:._\ih_. City Job Number_ 71!7~35' 1. LOCATION OF INSTALLATION 3. COMPLETE FEE SCHEDULE BELOV ,*..,..._ _')gqlJ.. t11l:lit\.~ c::;1: . -, -:: Z A. New Residential-Single or Hulti-Family per dwelling unit. LEGAL DESCRIPT~QN. Service Included: .A&u "517'" Hoot.. I /j' JOB DESCRIPTION_ 4~i '1t1~// C,!C'5isflNJ 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~rf) Address_/R~ltb '":&rrt-lrYr 41 Rd. City LOrl'tfLp Phone9....,'-/IJ..- J05Q Supervisor Licen.se Number 53?,.<) .1 (2 Expiration Date 10..- I -<ft.. Constr Contr. Number qlJ. f& (1 R' Expiration Date J -'11.. - 9t-/ ~~=~u~k:tectrician ;, Owners Name <) cl +I- . ~ ()~/ c:; Address? '7 ,~'i '-&rl'f.N~ (/ City furV1~ Phone (cR)-fHb7 OVNER INSTALLATION The installation is beirig made on property I own which is not intended for sale, lease or rent. OWners Signature: --------------------ti2-~----------- DATE: /..//' r7~ RECEIPT #: - I /:l 42'") RECEIVED BY: - .if~- Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or - Modular Dwelling Service or Feeder S 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. 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 S 55.00 S 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting~ Limited Energy/Res Limited Energy/Comm not included) 5. $ $ $ $ k~ 4/) coo . 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~....... S'?o f3.~O /,Jtl.'-'