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HomeMy WebLinkAboutPermit Electrical 1993-5-6 . . 225 FIFTH STREET 'ZoninrC c.. SPRINGFIELD, OREGON 9747'Z .!, l; it Ii} INSPECTION REQUEST: 726-3769- - - OFFICE: 72'6-3759 /'utncrizad Signature 1. LOCATION OF INSTALLATION / (1 0 I (yI /J.( (/ .,.{., LEGAL D~SCRIPTION n 033S~ J .-~("dci l~ '&CX<./Ld JOB DESCRIPTION -. 7Wo Ale.v E~ cuec~ A. 05300 , , 'Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. :~lectrical Contractor....AIe-w w~~ .,Addr:i!ss i<o, Po;.:, .;l.1~0:5 lfU)'l. ~.p. r,fI.. ':',,! City t::IJ"e..;y. Phone Uft,- Z-3G t; '."::.':,'i!.:i'}... ."f"'iSupervisor License Number ~"2~? - S , # ;,;.. ....:' - . . 0,. , 'Expiration ,Date 10 - I - qS ELECTRICAL PERKITAPPLICATION ~ . Ci ty Job Number q =z..) d C"q'13'1 M, fJ1 COMPLETE FEE SCHEDULE BELOV LJ ~/ 3. New Residential-Single or Multi-Family per'dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr C~ntr. Number '2.0 -fils c.... C. Temporary Services or'Feeders Installation, Alteration or Relocation Expiration Date It> - 1- 0/ -"5 Sign~~~ectrician / , D. Owners Name 5tf)~ \(') (), J:A1,tl;..~CV\cJ... \ 0 Address l (') () \ \N\ Cu~ S?t" Ci ty..:;r,v' , V\C \:;. p .P g Phone , ....J OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. 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 see "B" above New, Alteration or Extension Per Panel One Circuit ( Each Additional Circuit or with Service or Feeder' Permi t I $ 35.00 ''SSClO $ . 2.00. ::1,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: DATE: Rt.<.6.li'i ,: RECEIVED BY: 'SIr-, \q-:>, <;2"3.\(';). ClP. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' ~I.()O I ,~c::- 2- 9 <;/ c:::-