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HomeMy WebLinkAboutPermit Electrical 1994-2-25 , i. . 225 ,FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: . 726-3759 1. LOCATION 9E INSTALLATION /7 J ' qq/ tg,/LW~ yC-' , . J ' LEGAL DESCRIPTION .. JOB DESCRIPTION ~~V'<~ . 5~u~ -~wVeif-- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for lBO days. 2. "u,.~AACTOR INSTALLATION ONLY Electrical Contractor h-b r Address IbO I f-e./H.k-" 5> I- City (;~ Phone 3'/7--13/3 , I' one '2 Supervisor Licen~e Number ~~ 1rcr~ Expiration Date \() - \ - q (r; Constr Contr. Number Qc...B- ~ Expiration Date 1 {) -l__q v( , . Slgna~ SU7:::r:ddd~ Owners Nc,me""\bV\'6' f1ICLSC;:P,,\S'(..(. Address ,\q" ~\V-~:J -\> , Ci ty~Phone(sfl';. gL~O OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~:-:~---n~l~4----\~'1if-- RECEIVED BY: -o~dJ'-.-\, .- 3. ELECTRICAL PBRHIT APPLICATIO~ /\ City Job Number q31 gl U COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Hulti~Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home or Hodular Dwelling Service or Feeder $ 40.00 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 $ 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 $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/O,utline Lighting $ 40.00 Limited Energy/Res $ 20.00 ..:.lc) Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE ...')0 ~ 5%.State Surcharge { "L/ - '\../"\ TOTAL' r'\ \ LU '-' -