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HomeMy WebLinkAboutPermit Electrical 1994-3-2 (2) ~ . SPRelELD The following proJect as su.bmltted.~as the following zoning, and does not require spec\'lIc land u~LECTRICAL 974 }i1proval. 726-376~oning l.-{)~_ D':\t~ 3~ l~~OCA'l:;rO,N OF. ;rNST~4t'f.~PN,.~ 2iznatuic_ \<:\~ ., ? -? F-#f-o ~ / f ~ 5?JS7'fZ, r A. . / LEGAL DESCRIPTION 17 (:''Z. ~~ 07') - () i~ oD .. JOB DESCRIPTION J /?7~,btt:.,r hc7.P/Lt" 4/YJP~~,d~V Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180:days. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 2.: CONTRACTOR INSTALLATION ONLY Electrical Contractor /O/:J i,r ~?rt, . Address r5// /'"'7P.//V Ci ty 5'tp /t. t} Phone 7..z.," C?Q; Supervisor License Number '10 ?- ] 5 Expiration Date /0/1 /9 f ., . . '. // ",- Cons t r' Con t r.' Number ~:Lft b Expiration Date &1(::;-1'" 9 f4 Signature of Supervising Electrician .7 v. ~~~..., .-' PERMIT APPLICATION City Job Number Cj Lj lYLbl 3. COMPLETE FEE SCH~DULE BELOY - New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.~t. or less Each additional 500 sq. ft or portion thereof , Each Manuf'd Home or Modular Dwelling . 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 Reconnect Only . ~ , - un it. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 v 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 Owners Name Sd;~AJ"70 C'h'?/'?6pr/v~5 , Address ~3 f f ~ /"?,()./ /Y' City f-P/LJ Phone ?)Z:? Y'f / '7 ',' , 0\1NER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent.' OVners.Signature: --------------------------------------- DATE: ' ~ -'2- -0 L./ ' . RECEI PT I: .' t :r r? RECEIVED BY. li1 \AA~ . ;,,- $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00, i $ 2.00 E. Miscell~neous (Servioe/feeder not included) -Each installation Puinp or irrigation ~ $ 40.00 Sign/Outline Lighting $ 40.00 Limited 'Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge, TOTAL ' sLo.CJO '2. i) '15 se ~. 0 (>