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HomeMy WebLinkAboutPermit Electrical 1994-8-24 , . ..' Tho follow'n Zoning, and ~~oJoct as submitted has t . approval. s not requ;ro Gpoeillc 18/1~ ~o;.,1owlng 225 FIFTH STREET Zoning @ ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97..477 - /:l, I C INSPECTION REQUEST: 7~tc 37r,Q~-21--j" City Job Number vl,l ~( 15 OFFICE: 726-3759 AuthorlZodSlg / nature_II", 3. COMPLETE FEE SCHEDULE BELOV 1. LOC41'.ION OF(INSTALLATI9N LffCi ('1.11 ~tf;) flr).e J LEGAL DESCRIPTION \ I 0 C')?. 7 L- \ () ?:> 'IIYD JOB DESCRIPTION if .e (' f'il.ll^ ILH- Permits are non-transferable and expire if work is not started within 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION 'ONLY Electrical'Contractor Address City Phone Supervisor License Number 'Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Name M,; k ?6Y~Y1S' Address'~ (l A..( (.f.,-f.0~ 4v-L- . City ~ {--d Phone 7i.f7-/S/6 , OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. -=4 ;;r. atur~: /_ ij..#' "< -----~,,/~ ~4 - DATE~---~~~~4t----~----~::~------ RECEIPT 1I: , '-I ~i r RECEIVED BY: (11A__ G A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: lOOO sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular, 'Dvelling 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 Reconn~ct Only It ems Cos t Sum $ 85.00. $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 4r? (7) 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00. see "B""al1ove .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. . 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ '-/0.00 1..CJJ 1.7.0 L,?~70 40.00 40.00 20.00 36.00