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HomeMy WebLinkAboutPermit Electrical 1995-3-27 (2) .'. e SPRINGFIELD \JC1D The following pro) zoning, and dooa = ~o .~bmltted h2s tho toli approval. equl(e specific ISnd use 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 iO!!r .pESCRIPTION' L' l. \ f:ICl l' Q . d')}(\ ~\\ 1'\.0. permi~s 'are non-t:ans~erable a~\^X~ire if work is not started within i~days of issuance or if work is suspended for' 180 days. 2. CONTRACTOR INSTALLATION'ONLY B. Electrical contract~~~::::' <rlllg Address&1 ~ \ N\m'-~ . Ci ty Y.... TIQ..M ~ Phone4P>CO. CA~a . Supervisor ~icense Number ~ fJ f)~ Expiration Date \~. \.<=\:=S Constr Contr. Number_ C"'A2-C\lo Expiration Date \'A . \0.1\.1\ Signa~~perv~cian . if Owners Name::.-n\\f\:::', I') 0 }[\n l. _ D. Address~'S ?J ~ 6S'-'\[\\~ ~ \1V, Ci ty ~.i Phone \.- mINER \Nsi~~TION v The installation is being made on property I own which is not intended for sale, lease or rent. Owners' Signature: ~ATE~-----------=~~1):~---::- RECEIPT 11: _ I pii,-,'iV'7 RECEIVED BY: 'fJ\lj..?5l:'t.--Y ~ - New Residential-Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modtiiar'Dwelling Service or Feeder 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 unit. " Items Cost Sum $ 85.00. $ 15.00 $ 40.00 \ $ 50.00 ~() $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 $ $ $ $ 36.00 ~('. cO ~) J.... ,,'}.01) t. 2>l i--. ....s<+- cr )