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HomeMy WebLinkAboutPermit Electrical 1994-10-26 (2) .. - The folloWing project as submitted h8s the folio ze-nino. and does not roqulre spectflc land use approvaL 225 FIFTH STREET I ",/7 SPRINGFIELD, OREGON 97477 Zonin9 V1Jl<---- INSPECTION REQUEST:. 726-37.6.11, /o-lIo-0y OFFICE: 726-3759 Ac'hor!zad Signature (Jvt-v 'rnMPr RTF. FRF. !':CHEDULE BELOV 1._ ,LOCATION OF INSTALLATION .: u...0J~...vt{qtX> :t=O'l"c;'a~Ir>- LEGAL:DESCRlPTION )9; 07..--- M 00 01-9.()Z) JOB DESCRIPTION ~\' OiTW--0V 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 Address City Phone Supervisor License Number Expiration Date Constr Contr. Number I Expiration Date Signature of Supervising Electrician Owners Name e..,U r fu.V\d. ~ Address lot 0 P I~ C:t- City Cx-6?VV-fhl Phone C{0-/,g3:=z,Z OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. xer~~ -------------------~t------------------ DATE:_ ID/Z,...y -1'-1 . RECEIPT 1I: I "lVI/to ~CEIVED BY:_~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number q zi I foS3 A. New Residential-Single or . Multi-Family 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 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 Items , Sum Cost $ 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 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 4D $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 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 $ 40.00 $ 40.00 $ 20.00 $ 36.00 40,(0 ?O-J /,7.-0 l.\.1,.fu