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HomeMy WebLinkAboutPermit Electrical 1993-5-4 (2) -- all. WII'~ SPRINGFIELD , ....',,., ,halOllvn ,., , "r rJ. '~UoU e:(3 . ....." r,"" r~!\ .....-...1.... ......\c \Elnd U;:J . .._..... .......' -'- . \r.~~"'.' j . !. \'..... . ..". .. ~ ...~ , "t"',,"" ."\ . .. ..-....-. \ oj. ,.". 225 FIFTH STREET ;, . SPRINGFIE~, OREGON 97471., .. L~ INSPECTION 'REQUEST: 726-3769', f, ',' ~ ---- OFFICE: 72'6-3759 . r. ~,__~~~-'jJ 1. LOCATION OF INSTALLATIR~..:.;ri:~Gj Signa.ture .!l..S:.3l/ ~T . A. ELECTRICAL PERMIT APPLICATION ~ City 'Job Number t9-:sd>5.8? 3. i~ FEE SCHEDULE BELOV - LEGAL DESCRIPTION /7-o'2-3:Z~ Oo/'~O~ r New Residential-Single or Multi-Family per'dwelling unit. ~ Service Included: Items Cost Sum JOB DESCRIPTION . I~mu UeT lu-lo AIJl\ R..o~kc.h ~ltuA.\ T . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 . 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 Electrical Contractor~15On\ ~~~ Address~~ c..~ Lt> Phone lD~ 11~ (- $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Expiration Date Number :.J!Po 1 S IO/c,I/9 r 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 Ci ty ~ " .,..... '.) Supervisor License .r .' . Constr Contr. Number~:.':" Expiration Date /0J/9'j C. Temporary Services or'Feeders Installation, Alteration or Relocation . Signature of Supervising Electrician 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above ./~ C3 f"~, Owners N~.me S,EV'=t..) \-ht.~c. k,' Address ~ '" ~Q Ci ty ~\~ ~\.j Phone 14' 7~ lot.,.,. OVNER INSTALLATION D. Branch Circuits New, Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit I $ 35.00 . 5'S:~ $ .2.00 . ~ 2. The installation is being made on property I own which is not intended for sale, lease or re~t. Owners Signature: E. Miscellaneous (Service/feeder not included) -Each installation' Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 DATE: RECEIPT I: RECEIVED BY: .y:Y-9~ $$6/ /7~_..- .~,.- 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~7~ I . ,,- ~x. ~~ ---------------------------------------