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HomeMy WebLinkAboutPermit Electrical 1993-4-2 (4) . e SPRINGFIELD , " tlv'l io\\CNli\19 225 FIFTH STREET . r\ ~rc';"'cl 0,': ":liJbt"1"'P:!':'~'::I'~d ,ISi:: SPRINGFIELD, OREGON:h9,~9;t~~,~(-, "\p"''- - ': ,'. , INSPECTION REOUEST:zon7'26'::"'3769, OFFICE: 726-3759 a?prvJ~!~ . r; ---v{"-- 1. LOCATION OF INSTALLA;;~~Y' 3. - - O~.~- .- c:G~~"lH~~~-,.~, r-~{-,,,t\\;e- ft.. New Residential-Single or ,I" " / ~uthOnzeJ:";;' " Mul ti-Family per 'dwelling uni to LEGAL DESCRIPTION Service Included: ~.~~-~~...-- ~ JOB DES~ION '~~~ '4'tF CZ'-:c7"~ Permits are non-transferable and expire if work is not started within 180 days of issuaric~ or if work is suspehd~d for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. " Electrical Contractor~Q~ td..Qc?; /"..,L. Address f/;;J- -.3 >-,,;2 ~c.-/cu-,,-~cr /7C<.-/ City ,P:?/Cr,...C;,P/'tS'L-.i) Phone~~-;r?~ Supervisor License Number /~I 5 Expiration Date /0 -'7:3 .1 ELECTRICAL PERMIT 'APPLICATION Ci ty Job Number 9:503.5'7 COHPLETE FEE SCHEDULE BELOV - Items Cost Sum 100.0. sq.ft. or less Each additional 50.0. sq. ft or portion thereof' , Each Manuf'd Home or Modular Dwelling Service or'Feeder $ 85,0.0. $ 15.0.0. / $ 40.,0.0. &/ d7.'o (/ Services or Feeders Installation, Alterations or Relocation: 20.0. amps or less 20.1 amps to 40.0. amps 40.1 amps to 60.0. amps 60.1 amps to 10.0.0. amps Over 10.0.0. amps/volts Reconnect Only $ 50,00 $ 60.,0.0. $10.0..0.0. $130..0.0. $30.0.,0.0. $ 40..0.0. C. Temporary Services or'Feeders Installation, Alteration or Relocation " , Cons t r Con tr. Number ;:po-;; 7...;:z.... Expiration Date /~~? '3 - Signj2e o~s ervising Electrician ,~ ;g; ~~ -- - -~- C/ - - - . Owners Name ~.;er 5~c..~A> , 2DD'amps or less 20.1 amps to 40.0. amps Over 40.1 to 60.0. amps Over 60.0. amps or 10.0.0. volts $ 40..0.0. $ 55.0.0. $ 80..0.0. see "B" above D. Branch Circuits ~ V' Address Ci ty. 'Phone , OVNER INSTALLATION The installa~io~ is ~eirtg made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE:, ~-~ ~...~;::> ~RECEIPT I: '--? ?~9z...... ~ RECEIVED BY: /' /~-.. ~ ~,. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.0.0. $ .2.0.0. . E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limite~ Energy/CQmm 40..0.0. 40..0.0. 20..0.0. 36.0.0. not included) 5..' SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . $ $ $ $ ~ ".,. -'2 . ..-. ~.~p r . , . . ~