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HomeMy WebLinkAboutPermit Electrical 1994-5-9 .. . 9 following pro Bet a9 submitted has the foilowil1 zoning, and does not requIre specific It'ind use approval. 225 ,FIFTH STREET Zonina C. e,. SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 72(jJIJilf,cl 5-q-q'(- OFFICE: 726-3759 Authorized Sign~tura tJ.f\!. 1.' LOCATION OF INSTALLATION .")7r?/ ff]a. /n LEGAL DESCRIPTION ./'7ro? c~ f I JOB DESCRIPTION I"nsfall CLlJ1:k,nl ,<;1'0;0 '"..fv _ " i-:-- Permits are non-transferable and expire if work is not star,ted' within 180 days 'of issuance or if work is suspended for 180 days. ......, "(' /177') 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 0 <:\"n,-fm/'('jecuy,'t~ I Address PI) ~ 021/){JQ City [; J,,4 #? fl. Phone L/6 /-.5(;, 78 V=-' , , Supervisor Licen.se Number L7jl) JLt::. . Expiration Date 1/J-I-ClC, ; Constr Contr; Number 05/L.j.Q Expit'ation Date 0-:-dfl-:-9b ELECTRICAL PERMIT APPLICATION Ci ty Job Number ",. CBHPLETE PEE SCHEDULE BELOV '7-1~~5J * unit. Sum Items Cost 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 $ 40.00 5,. SUBTOTAL OP'.ABOVE 5%'State ,Surcharge TOTAL. ' ",., "... ,:.... ;...... $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or' Feeders Installation, Alteration or Relocation or less t<>400 amps to 600 amps amp~.or 1000 volts $ 40.00 $ 55.00 $80.00 see "B" above $ 35.00 $ 2.00 The installation is., being made on, property.I own.which is not intended for sale, 'lease ot'rent. ,Pwne!s, Signature: E. Miscellaneous (Service/feeder not included) -Each installation Puinp or, irrigation $40.00 Signl,6utlin~Lighting $ 40.00 Limi t,ed Energy'/Res$ 20.00 ,Lilliited Energy/Comm ,', $36.60 ~ A. New Residential-Single or Multi-Family per dwelling Service Included: 200 amps 201 amps Signature of supervising Electrician Over' 401 D J........-... Over 600 (V1,t,k." VY1~1 / ,~ owners N~e, B1\tN,f)~fl151LQ1)dt)f\~ Branch Circuits " . tr\o...",,1 \'""J 11 ri. - \ New, Alteration ot Extension Per Panel Address .\\J.., \:;,JU'I'- ,-Y IA ~ " ", f ~'V ro ; l\, . , ' 'One Circuh' City11)\llA.JiA l MPhone ,Each Additional " , J. , U. r::::...C^?/ Circuif,or ~i'th Service, OVNER INSTALLATION 0.,J.) or FeederPermi t .' " DATE: RECEI~ 11: ' RECEIVED BY: 5" -5' - j'</. /~ B. Services or Feeders Installation,' Alterations or Reloca ti.on: 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 . =jt,. OV , ~/.:ro -//d)f> , -+.,~ .'?.'.: "'1~,~6