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HomeMy WebLinkAboutPermit Electrical 1994-7-1 . . SPRINGFIELD... Tho following proloct ... .ut.mlllod - the fo!1o zoning. and does no! r"'lulro spoctOc lend use 225 ,FIFTH STREET approvoL ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477Zonlnl1 /....j)/2.. INSPECTION REQUEST: 726-3769 '1 <I- OFFICE: 726-3759 Det&::z::..L: + Aulhorlt9d 5191"""'" 1. LOCATION OF INSTALLATION y&p L/L" _p/d.. / LEGAL DESCRIPTION /7-03'~'CR._ ~~.o!> . JOB DESCRIPTION . A?'~_.::.-&:,r />7"'/"'" rpr/;t:~ 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. CONTRAcrOR INSTALLATION ONLY Electrical Contractor A 6' L.EEL.~ ~ ' ~ Address ..>.5// City )'p/LL7 , /'7 -9/"v Phone 7 ;zt: -tr7 (J / , Supervisor License Number ? t7 2..35 Expiration Date /~/ry. Constr Contr. Number'?';;.. ~O (" Expiration Date 7 // <;;1'1 f' . / ../' Signature of Supervising Electrician -<J ~ /-'" ...- ,~ - /J/Z U'~t /.Jt"h../1;V:.G ~ 9wners NBfle ~ r ,{7. yo ~ ~ ~ .i Address r(7'T N9-? 4-/"7 P ,/ C. / City 'J/'~ /C.J?Phone7.Y6 7 ?5r \.00.,,,,,, INSTALLATION The, installation isbeirig made on property,~ ovn,which, is not intended for sale,lease or rent. ' OWners Signature: DATE: &\6\06J....(, I: ' RECEIVED BY: 7-('- ~y /~7-=r. /, "/, <j:~' City Job Number &J 9'.:::::>"9;><<9 t.Y.'~O"PTR'I'R J1I1E-SCBEDULE BELOII A. New Residential-Single or Multi~Family per dwelling Service Included: Items unit. 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 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 Reconnect Only .....-- $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ...!,f1Z.. ~ 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 Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuitor with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Puinp or, irrigation $ 40.00 Sign/,Outli~~ ,Lighting $ 40.00 Limited EnergyVRes$ 20.00 ,Liniited Energy/ComDl $36.60 5,. SliBTOTAL OI"'ABOVE 5% 'StateSurch8rge . ' , " . ,~~. '-:f::r?- ' Y'~~ ~1:" ~.-- , . it. 0 <7'? <,0