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HomeMy WebLinkAboutPermit Electrical 1994-3-30 The fO~loWing project ~s submitted .~~ ;h~:f~IIOWI . ~ 22's FIFTH l>LIU:.J:.L ~~~'r~~arnd does not require specific land uS!lLE~CAL PERMIT .APPLICATION SPRINGFIELD, OREGON 97477 I )J/ ffY:J. \1\ I A INSPECTION REQUEST: 726':376~oning k/1C-' City Job Number Vj,':'J~ ~ OFFICE: 726-3759 Oete :~ -~()-q1- 1. LOCATION QE..IN~p.r 11.'It~ ~ed, Signature fJ ."..2.. YIS\ rGA . - ) A. LEGAL DESWJ1:fIO~ \ a::A.r\~ H.. r D }\! .7J ~ - \...-' JOB DESCRIPTION lL' ,'. "-- 1\La:f- OI1.--rn -D . . Uf bl 0 . Permlts-are non-trans era e and explre if work is not started within lBO days of issuance or if work is suspended for lBO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor OREGON ELECTRIC-SERVICE Address~;;),)n L. ') '--N-f ~ Ci ty ~ <,-,-,,- Phone ~cJ.:~ - I b<:;Cl Supervisor acense Number /,-'~'/1c!;J < "\ ExpiratiDn Date 10 Ie; c..j Constr Contr. Number NoLi (0 C--- Expiration Date ;eJ /qy.. Sign~!ure of sup.ervising Electrician 7~VU:b'" fJ If"" , Owners Naml:lW()ki:e~ Address ~~ Ci ty Phone 74(0 -~) 35 OYNER INSTALLATION -' The installation is being made on -property I own which is not intended ~or sale, lease or rent. Owners Signature: ~ATE~==-~--- ^~ .~~C) ,q::j:.------~ .RECEIn 11: \ _ ~,\?, \A\oJ 2RECEIVED BY~ -::-^) V_V\..... ;;7' ~ '\ ;- COMPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 . sq. ft. or portion , i., thereof Each'Manuf'd Home or Modular Dwelling Service or Feeder 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 C. uni t. Cost Sum $ 85.00 $ 15.00' $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Nev, Alteration or Extension Per Panel One Ci rcui t / Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder .- -Each installation Pump or irrigation Sign/Outline Lighting, Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL' $ 35.00 3S'&o $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00' ~ "S 0"0 ( '-S 3(0 "?,S