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HomeMy WebLinkAboutPermit Electrical 1994-6-28 - ..--........_'---- , ' ubmlltedhellt ~" 'Tho following prolecttB~uir. specKle land uee o!:'.n, zoning, and doas no r--. . '-"!' 225 FIFTH STREET approval. /I 11 ELECTRICAL PERMIT APPLICATION SPIUNGFIELD, OREGON 97l,77 Zoning. \:..1.:./ ti 110 q -;z...' / INSPEc;TION REQl1EST: 726-3769 1_ Ix '14 City Job Number -, '-t J'-f OFFICE: 726-3759 D~o ~'--/-7 1. LOCATIONI6f AtjSTAL(ii'J:W;\ori1odSiP~u,r. ~'f"v9Hn~u:. rr... SCUEDl1LE DELOY, '~ I ;)Lf{() (). I r it1fYJ-- /cJ{)A. New Residential-Single or ' '. ' . CJ . Hul t i-Family per dwelling uni t. , LEGAL DESCRIPTION Service Included: ' l7 0 ?31P~z... 03e:j{) , Items CostY Sum ~s~Scm ~ l-II QlbYG Permits are non-transferable and expire if work is not 'started within 180 days of issuance or' if work is suspended for '100 days. ,. 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 2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders C$ q?/\ n. 1" Installation, Alterations or Electrical Contractor L, I~) c71'hv (1) Relocation: Address t~to Do luOQ M,'l]) /JJ b . 200 amps or less Ci ty ~ v( b101e Ph;ne U~'-S5 V~ ~g~ ::~: ~~:gg ::~:. 601 amps to 1900 amps Over 1000 amps/volts Reconnect Only Supervisor License Number ~/_~- 5,~ Expiration Date /0- J. <tt. q~lqV )--/ ~') Constr Contr. Number Expiration Date Signature of Supervising Electtician -b 1Lc~~ ~. ~ Owners Na~~ 'K\r\, \C)~ Address CitY~~PhOne OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease Qr rent. Owners Signature: ~~~~~-----(lJ~-~~~CJt~-------------- RECEIPT fi: I 0' _ _ \:i~ RECEIVED DY: ~ , ':$ 50.00 , S 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 amp~ Over 401 to ,600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "D" above .' D. Dran~h'Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit I $ 2.00 E. Miscellaneous (Service/feeder , -Each in'stallation Pump or irrigation Sign/Ou tline Ligh ting }O Limited Energy/Res Limited Energy/Comm not included) , 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00. 40,flJ .J-. 0~- ()' Un.) I}P 1:\;1;' t::trr SlIDTOTAL OF ABOVE 5% State Surcharge TOTAL