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HomeMy WebLinkAboutPermit Electrical 1994-10-7 -'.'._,-,_~ , - , CITY 0 225 FIFTH STREET .. . ' , ELECTRICAL PERMIT AP~\T~O SPRINGFIELD, OREGON 974 7'th... a. to))owlOg project M su,bmitt.ed..~lilS the fo!!oviing . C\ 7 iO.(ll,n~hand does not reqUIre specIfic land UI,ji . b N b INSPECTION REQUEST: 26~&1M1.,~ (;1 ty Jo urn er OFFICE: 726-3759 D Zoninp '~ 'J '::'OMPLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLA~JtgN I/h-7-4Lf b 1 ~ ""Tlf1.1!~~).) K~. . .. .~^ , 1\umonzeo ::>19I1atUre-!1.r · - \ f\O~~~\TION((f\(f) JOB DESCRIPTION 1t.(."";rt4.LL"( ",,^\<')5~ C~/~ f; (jlLl(~~'~t... Permits are non-transferable and expire if wo~k is not started within 180 days of is-suance or if work is suspended for 180 days. 2. Supervisor License Number 4n2~S Expiration Date 10'" t... q5 New Residential-Single or ~ul1i-F~mj~y per dwelling unit. Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder f. Services or Feeders. Installation, Alterations or Relocation: -- 00 amps or less 201 amps to 400 amps 401 amps to.600 amps 601 amps to 1000, 'amps Over 1000 amps/volts Reconnect Only 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 Constr.Contr. Number ~ A Expiration Date ~ A Signature of Supervising Electrician ~:D~ Owners NameiA.y.llA"bAUl<.\K Bftl::.. f l<d"G . Address 6P?o to .3?.-H-I Ci tySPR\~ t=1";L,:~ Phone ~ -4.Jt,C) OvNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~T~~-----~---.'~- ----~1l"J~-~C1f2.-~---- RECEIPT #: ~ (\t1\ - \."Y~()\'" ~ RECEIVED Bye? ~~.1 A~\\'\\)~ 200 amps or less 201amp~ to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Circui t , $ 35.00 35. D.O Each Additional Circuit or with Service or Feeder Permi t =- j. $ 2.00 Z .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 $ $ $ $ 36.00 -# 37,00 { ,as- I . I l ~".q,=, 40.00 40.00 20.00