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HomeMy WebLinkAboutPermit Electrical 1994-1-25 -. c '~"'tr Thf, ,. "'\".;:-:., .)~.~I!Jct ~.. 225 FrITH STREET ~o"" .:;;; Coot ~~qs~bmi~edh.. EbEC'rRICAL PERMIT APPLICATION SPRINGFIELD,' OREGON 97477 . :""'1. 'doPOc;;;clonduso ",,", INSPECTION REQUEST: 726-3769 Zon'ng_cc City Job Number q Ye>Dt!5c:> OFFICE: 726-3759 [h:e-1_)-S.....5..Lr 3. COMPLETE FEE SCHEDULE BELOII ~ 1. LOCATION OF I~STALLATIONthorizo:J Slgnal"r~--1?\:B.. dO/l-1 malf) A. Ne...~i-den.ti.al-Single or Hulti-Family per dvelling unit. Service Included: LEGAL DESCRIPTION /77!'Y~"3b-Y<, 0-::2 ~ JOB DESCRIPTION /V7.5fa/l ,'S-'OA.r,-+y ,,<'II~+em I ' Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor 5tJhitr/)/ 5eo~n7' Address p./). ~ :J //)I'R Ci ty &JWP" Phone...!i/oI-607X. Supervisor License Number /'7/3 ::rt..6 Expiration Date /()- /-"Jc,. Constr Contr. Number '~~/l/9 I terns 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Cost Sum 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 $ 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 Expira tion Da,te c; /,2g'/9t:, Signat~e of Supervising Electrician 1/& :2~~ Ovners Name Norm IS Anl'1'''''c::;, Address Same.. Ci ty Phone 7;<6 - ~3;l/ O\INER INSTALLATION The 'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE:_.... /-;2 ~-'77 RECEIPT 1I:~q. RECEIVED BY: /"":. " _ '/" 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permi t E. 5. SUBTOTAL OP ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 no t i neluded) $ 40.00 $ 40.00 $ 20.00 S 36.00 ----L- .,~.m J. ~D .7,'7. 8D 3/" IJ?>