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HomeMy WebLinkAboutPermit Electrical 1993-7-22 -e .. SPRINGFIELD The following project sa 8ubmlltedh8ll the 101 zoning. and doe. not require specific land u 225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 .-w.:r: INSPECl'ION REQUEST: 726-3769 Zon,na Ci ty Job Number q 3/ CJ~'2- OFFICE: 726-3759' 0"0 /-2.-1.-- 1(,:> 1. LOCATION OF INSTALLATIOti"Ui"o"Zad Signature U ~ '- .' 1'71':f2 7=it::> ~O 1e'f:2A- LEGAL DI!SCR1:PTION'" ., . ;3~:Jc> . 0 ~ '^"\ r\~' AIo-Q JOB DE~PTIO~.. ~ hO.lA'l ~\~\....,_....,q..~ ~ \~_ Permits are non-transferable and expire if work is not started within 180 days 'of issuance or if work is suspended for 180 days. i OVNBR INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE: RE"r..u., I: ' \ RECEIVED BY: ~;/~~1I~3------------- 'f . 9 Y-./"J 7 '#r~ -C . ~PLETE FEE S~BEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof. $ 15.00 Each Hanuf'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 C. Temporary Services or'Feeders Installation, Alteration or Relocation Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting----- Limited Energy/Res Limited Energy/Comm 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 2. CONTRACl'OR INSTALLATION ONLY B. Electrical contracto~~~~~ AddressJO Cf ..s EJ A.\ J...\- A..~_ City -q 0 A\..-. '"':1_ Y'I"\ Phone , 9 Clt - ~~~ \ Superv~sor Licen;;e Number) 4: i? 7J > . Expiration Date J () - ! - 9 ~. Constr Contr. NumberL:_~~~/'/ Expiration Date _' : ~ ~.2o/~L . Signat~~. upervis;:~ 4.-,4- ~ ~ - . I./. ...,. - - - '- D. Branch Circui ts Owners Name if VJ <:: eo I ^, D New, Alteration or Extension Per Panel AddressJI,-,:;] 0 - L- "" Y1'I 'P I b l'P",- C'I ~ oJ One Circuit ($ 35.00 35" ~ City S '0 .->s- ~ Phone Each Additional Circuit or with Service or Feeder Permit 1 E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL volts $ 40.00 $ 55.00 $ 80.00 see "B" above $ / ..~ 2.00 J:2.....C not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ I~- \..7 ~;- P '7 'o~' \- ~