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HomeMy WebLinkAboutPermit Electrical 1994-8-4 . . . . .' The.lollowlng project es submitted has the loll zOning. ond doe. not require epeciflc lend use approvel. 225 FIFTH STREET I!.iY SPRINGFIELD, OREGON 97477 Zonlnn INSPECTION REQuEsT: 726Clti69 "" o/fLf OFFICE: 726-3759 A lh Iz Si ~ ~ u or ed gnaturB...LL.' "'- 1. LOCATION OF INSTALLATION c; 0 '1 \ 1M I, he. ~ A. LEGAL DESCRIPTION lID V~~~2- o0Z-0/ JOB DESCRIPTION ::{..p rr\\\li\O~ +-5 {\Nr ('~~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is.suspended for 180 days. Ci ty t:..... 'I rNP_ Supervisor License Number Expiration Date .j_ _ I ~q<r C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number /6 ~ f< <j Expiration Date /2_'),.oU Signature of Supervising Electrician r~ ~)vL!- owne~) Name ~II ~S BrwtA.o. Address Cy)Cj.::; M/J.-clA ,(;!I- Ci ty ~ Phone 74 tn-'.j~Ic.:, OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: -----------------t-------------------- DATE: SI'; L\ 4L RECEIPT II: /42-).1..- RECEIVED BY: /fAM/\.L-- I \ ELECTRICAL PERMIT APPLICATION City Job Number qqDCjq~ ~"DT "T" ~E SCHEDULE BELOll ~ New Residential-Single or Multi-Family per dwelling unit.. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or.Feeder I terns -f- Cost Sum 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical contractor_j/c, [jet/elL- 'A,Jo~l/"h.or Relocation: Address f 00 (0)( ;)..<.{q S. 3 200 amps or less 201 amps to 400 amps Phone bRb -fo:+ 3.(., 401 amps to 600 amps 601 amps to 1000 amps '3 t.{'! 7 S Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 40.iX) 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Servi~ or Feeder Permit ~ $ of' ~ $ 35.00 2.00 ~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ ?j)oO ;7,'7.:') 1.00 <7:l . nO 40.00 40.00 20.00 36.00