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HomeMy WebLinkAboutPermit Electrical 1993-9-24 (2) - S_GFIELD zoning, and "does not require specllc ana use approval. 225 FIPTH STREET Zonin8~ SPRINGFIELD, OREGON 974770a18 g/1U~ INSPECTION REQUEST: 726-3769"" ^ J~ OFFICE: 726-3759 Authorized Signatura~" 3. COHPLETE FEE SCHEDULE BELOV 1. LOCATIO~ O!' INSTALLATION . S) /t.J)( =h-1rs.~+h;A- LEGAL DESCRIPTION /~-a..;?~ ~~/ CS /7<:50 , , ., JOB DESCRIPTION 11');r Q. hoc"'\- {)/lImp 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 ContractorLt~ POor;tr;(l . Jvc, Address 0,0: --p..y..,--L /4<l,4- CitY~(';n~6; oM Phone 7<1/-,;7,::r<i.4. Supervisor Licen.se Number /lp<j(05 Expiration Date IO-I-q,t:) Constr Contr.. Number 0 ~ ~1q Expiration Date q - J- 9</ . CJ,:~.4~'~;:-~ Owners N,,:me r'Y'\: J<' Q. ~L") Address..2J1n 'i< --:Jcr~1 ttl:hA- CitySprlr~~o 0 A Phone 7A.lo-./] -i.1., ~ OVNER INSTALLATION ELECTRICAL PERMIT APPLICATION City Job Number A. New Residential-Single or Multi-Family per dwelling Service Included: 7~ /~~9 Items unit. i Cost Sum 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, Alteration~ or Relocation: $ 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 5._ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 vol ts $ 40.00 $ 55.00 $ 80.00 see tlB" above D. Branch Circuits New, Alteration or E:<tension Per Panel i $ 35.00 d'5,ft) 'One Circui t Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Ou t line Ligh t inl~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT ,: RECEIVED BY: 9-.:;:> y-9:3 A..;c /'/....-~ r - <..~{ : 00 75 .~t". t.P)