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HomeMy WebLinkAboutPermit Electrical 1994-6-1 ~. , SPRINGFIELD The following project es submitted has I Ihde tollowin_ d d not require specIfic an use 225 FIFTH STREET zoning, gn oes ELECTRICAL PERMIT APPLICATION , SPRINGFIELD, OREGON 9741jprovo'. l-C/ INSPECTION REQUEST: 726-3769lonina OFFICE: 726-3759 Date ft-I~ fJ'~ 1. LOCATION OF INSTALLM',JONlzod Signature ;; t./ t../-=: M A- IIJ LEGAL DESCRIPTION 1?--e:::>'2~~/- ~-:: LJ~&'/ JOB DESCRIPTION 1<..lJtJ 1'20\1 Q..(L'-. ~ ~H1-f" ~B~\"" Permits are non-transferable and expire if work is not started within ISO days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. \ Electrical Contractor PA1'/2..\c...~ S <?lEZ:rt,,-, Address 2j2-1 ~l'.,..\"".v l~'-VO -.- Cit-y-e..4.,€"-.lJf>' -- -Phone':"~4':;'-=7<./Y.:z.... Supervisor License Number' Z7/S-S Expiration Date /'0 -I -&>jf5" Cons t r Con t r. Number 3 &. ~(~ .. Expiration Date 'I-IS -'1~ K~:~?Yician ow;ers Name JOH Al IL I WI p n>>J Address 3 <Iv,:> lU..A-uJ Ci ty ,j'p6h-L) Phone 72b - l!'IS3 OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: ~./~~r,/ RECEIPT I: I-~ //'"=? RECEIVED BY:.q----:- City Job Number ~t;./pg~ * COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost Sum 1000' sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to'600 amps $100;00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or 'Relocation 200, amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 100u volts see liB" above D. Branch Circuits New, Alteration or E~ension Per Panel - ?':;;.-- ( One Circuit Each Additional tircuit or with Service or Feeder Permit $ 35.00 $ .2.00 . E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm " not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 3S-.~ I. "7'1> ~(m 7"- ~'~5" SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ?;? Sa