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HomeMy WebLinkAboutPermit Signage 1994-10-11 SI."INGr-I~I.U ~-'Ji ~- 225 FIITO STREET T". 'n"""'" ','0"<1 as 6Ubmltted hi.sthBLEGTRICAL P'ERIlIT APPLICATION SPRINGFIELD, OREGON 97477 z;': ". .., ;~requlreepe<:ifIcla',' " (74\ Q "':)Q INSPECTION REQUEST: 726-3)69' f.U Ci ty Job Number '"'\ .: ) CO) OFFICE: 726-3759 ',l...- 1""""11 '1 3. COHPLETE PEE SCHEDULE BELOV ~ '.'," 1. }PJ\AnQ~ o~..},t{SI.AIJ.AT~~'? - ,~ , ,'~ \ 'f'-:) \ '\ '{ '_0 _ f~!ll~ra, A. f>>t.lO...lIllsitleRtia1-Sing1e or Hulti-Family per dwelling unit. ~ \ ~~'\C~YON [,)lof\rYJ Service Included: Items Cost , ~ DESCRC1I~O rt7r i rf} 0 permits~ no~-tr:nsf:rable 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 Contractord04J U"/~"I ~ (.,c Ir. '~ Address-P.o.&x ;););:).01 City>vc."...." '77VCI-l- Phone7J<7-S"/0Q' v' , Supervisor License Number ~(}.L,t-::s Expiration Date 10-7S Constr Contr. Number 0;.5910 Expiration Date C'7~ Signat.ure of Supervising Electrician" &J~/)A- (~7eL" Owners Nam~f-f)(\ ~.Q,6,J~J.'.h " D. Address ~~t n. 0\ 3~ 'tf\,\" Ci ty ~ J+,P ~ Phone ~ IJOZ~ OVNER INbiLLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Eili;.:~~;r:%7(;r{--- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder 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 Sum $ 85.00 $ 15.00 $ 40.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts se~ "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Ligh,ting Limi ted Energy/Res' Limited EnergY/Com~ One Ci-rcui t Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State S~~rge T~L 0'10 $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00't,()~ $ 20.00 S 36.00 t\09g, ' r\J UL/ (.'~(! -/1""") -"}/,,) I~'~ ,......