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HomeMy WebLinkAboutPermit Electrical 1994-2-16 - ",-"I.I~lr<<'];f.i;};~~/=1~9{'J;I=j~"JI'~.. .-..... ~ . . '.' .tt'P 225 FIITH STREET' ELECTRICAL PERMIT APPLICATION SPRINGFIELD,' OREGON 97477 _NSPECTION REQUEST: 726-3769 FFICE: 726-3759 1. LOCATION OF INSTALLATION , 1)(" / I) rf)", / n S";" LEGAL DESCRIPTION J77:X2-~3~ y/ .e:>~O JOB DESCRIPTION inS-fa{( $au. VI i-v I Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date (" -;)g'-1h Signatqre 0.{ supervi~ing :E1e;Jrician ., t/~ ;:?~~ Owners Name )/t'adl-u V ner5 Address ,'5/,,/1) /YJar'YJ _~.f.. Ci ty' ~ri"!5-PiP tI Phone 1,.jtf-I::2(""'l . 01lNER INSTALLATION . . The 'installation is being made on property I own vhich is not intended for sale, lease or rent. . Owners Signature: , ------------------------~-------------- DATE:'.- . .. ;? 7".6 o4:p 't' ., -.~:1i;;~ RECEIPT 11: //fi$27 ',"'.. RECEIVED nY:~~~ City Job Number qYC5/9~ , 3. COMPLETE FEE SCHEDULE BELOII A. New Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 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 . $ 55.00 $ 80.00 volts see "8" above . D. 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) I $ 40,00 $ 40.00 $ 20.00 $ 36.00 ,=y",'/m 5. . -q~. CJZ) , /, ~i! Q, 7. X"() . h , SUBTOTAL. OF ABOVE . . , 5% State .Surcharge TOTAL