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HomeMy WebLinkAboutPermit Electrical 1993-12-27 (2) . SPRIN_LO ' r~.-'J.iOjk;'.,..:;r~[j.proicct fiB cllblr.1t~~ hn~ th~ fclloy tit 225 FIFTH STREET ~~~,,;~~..~no oc~o" no! ~q\re opeo;;ic lond E'LE~CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ZOI1:ngU ' INSPEctION REQUEST: 726-3~.69 \~ ~ 0 .q , . City Job Number q 31 /J( cfi- OFFICB: 726-3759 'de , . AuthOfi,ed Signature U:t 3. COHPLETE FEE SCHEDULE BELO\l 1'~f~fON#-;~~ffit<D: ) 1~~S0r!fJf& m<tn& Od-G(l"t / l".r(t~DESCRIp:r~ Permits are n if york is not of issuance or 180 days. ! -transferable and expire started vi thin lBO days if york is suspended for 2. CONTRACTOR INSTALLATION ONLY , Electrical Contractor BC ELECTRIC Address PO BOX 371 City Phone 935-5210 ELMIRA Supervisor Licen~e Number ~?S Expiration Date 'QL..lA~ Constr Contr. Number 66799 ,{. " Expiration Date 6/4/94 The. installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: DATE: ----A- I ./--J r;~<;{ ~ RECEIPT I: ..: '-11~~t5j/ RECEIVED BY. !x'..)( 1.J' . Nev Residential-Single or Multi-Family per dvelling unit, Service Included: A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Hanuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Reloca t ion: 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 Items Cost Sum $ B5.00 $ 15.00 d 8:) $ 40.00 $ 50.00 $ 60.00 $100.00 . $130.00 $300,00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 200 amps or less 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or 100U D. Branch Circui ts Si~ature of Supervising Electrician J/t~ ~'f- fJ aUJJJ Ovners Name (Ifw-t (1n 0.1- rl y ^ \~\~/ ~. Ii Nev, Alteration or Extension Per Panel Address"-\1~ 1\ \.. h 1 ) c:::::..~j - (LY1 -nn( f) ,One Circuit $ 35.00 City, Ul..R, Phon ~~ ( ( Ol-----"Each Additional \ \ \ ' Circuit or with Servi~e O\INER ~ALLATION . or Feeder Permit I E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL volts $ 40,00 $ 55.00 $ BO.OO see "B" above $ /),cO 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 rn0? 4, \()