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HomeMy WebLinkAboutPermit Electrical 1994-2-16 (2) .~"'f The follo'o/ing project as submitted hae the following , !:i4. 225 FIFTH STREET zoning, and does not require spec~ic land usELECTRICAL PERMIT APPLICATION SPRINGFIELD,' OREGON 9747'proval. INSPECTION REQUEST: 726-3769.;:oninn Cc.. OFFICE: 726-3759 L. " & III/> kiL.( 1. LOCATION OF INSTALLA-T,l00J:od Signature , '5f.a1() rn~,. n , <)+ LEGAL DESCRIPTION J7'"'ltXZ-~'3~ y/ &:>~.:::> JOB DESCRIPTION inS-fa / ( $1"(" U. VI ^+V , 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 ~nl11rn / Address J?/1 ~ J(' r..') /()()q City ;;:';-jW'o- Phone ~/-!51n 7f? Supervisor License Number 17/3 ::JL-.E Expiration Date /cJ-/~ 9'? Constr Contr. Number . (o/=;//.fCJ Expiration Da.te fa -;}g-J'h Signat~e oi supeTVi~ing Ele;;rician t/~ ?~~ Owners Name -.ikad-l-u V neY5 Address 5/" (I) /YJa r'YI _~..f_ Ci ty :~YJr/r:5.p(P tI Phone 1ifq....:.../.::J..b') OYNER INSTALLATION The .insta1lation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: :7 7:k. ..". 't' . RECEIPT #: /fR~7 RECEIVED BY: /7f~ V"'~ 3. ~ A. City Job Number gY'~./9r COMPLETE FEE SCHEDULE BELOII * New Residential-Single or Multi-Family per dwelling 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 S 40.00 $ 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. 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 I 5. 36.00 ,~.M 5... SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ':?~ - (JZ) /. 5"1) '::I. 7. X"/)