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HomeMy WebLinkAboutPermit Electrical 1994-1-19 . . SPRINGFIELD - Tho following pro) 225 .FIFTH STREET ~~~~ng, and do". ~~ ~:;u~~emltt~d, ~a. the follo~~LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97471'Vf.1. op_c.r,c land Usa '" , INSPECTION REQUEST: 726-n~?in2 L..OR... City Job Number &j.~1 'iSla z- OFFICE: . 726-3759 I:',to I ~I'" Jr_.",. _ 3. ~-~L-~.L COMPLETE FEE SCHEDULE BELOV l'1J~~I~~>~~T.T~~s:rnct",) lCJB A. Nev Residential-Single or lliirtt=Family per dwelling unit. LEGAL DESCRIFTION Service Included: \ I n?-, 7 ~7-, Ll L\ ('\;;2, CXTI JOB DESCRIP'I;ION - ~Q. fl1M.d -veMA 7~ (lAYrA.<'*,- '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 (;tIs ~/ecf/i<.. r!ayr;:s ~ Phone $'1 '/ - (" D "('l( v S:~pervisor License Number 881:S~S /0 -/- <7S" Address 21..,3/ Ci ty ;:~ Expiration Date Cons t r Con t r. Number ~ 3 J....,.'Y Expiration Date /2- 0-91- ., . Signature of Supervising Electrician r ~~ .- ;, Ovners N8;me~(<.e.-Ii"f!JiAJlt1 Address 2.61 (). ~.bvu-..])r City c;-f)f-J Phone ,u7 -&/fo3 ~I OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------------~~-~- ----------------- DATE: //I"J 5'-1 RECEIPT 1:_ ,it 91 _ - RECEIVED BY: .",v ~ Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or port ion thereof $ 15.00 ,Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less --L-- 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only '50.iX) $ 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 volts D.' Branch Circuits $ 40.00 $ 55.00 $ BO.OO see fiB" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service "7 4.DD or Feeder Permit L- $ 2.00 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 5. SUBTOTAL OF ABOVE 54. CO 5% 'State Surcharge 7_.70 TOTAL cy;, , 7 ()