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HomeMy WebLinkAboutPermit Electrical 1994-10-6 (2) r/ '- ,._~. SPRIHaLO 225 FIFTH STREET The, fOllowing project as submlllecf'-. tRJ .R~CAL PERMIT APPLICATION zoning, and does ' IM:S mM'CI SPRINGFIELD, OREGON 97477 appro'val. not reqUIre c~odfic lood u.e INSPECTION REQUEST: 726-3769 " I 1'\{2 City Job Number q ,,/ / .il :/:::L- OFFICE: 726-'-3759 Zoni~~ 'lA/ ~ . / Ome 10- c,.q'-( 3. 1. LOCATION OF INSTALLA~N~. 21"f1 &' A'"~A) ~rizedSignature~ New Residential-Single. or . - , i 1.4.3/ /MU.1U-1"<1",.1>.:r per dwellIng "Unlt. LEGAL DESCRIPTION ~/ . Service Included: Jil;!L/J - J Y/)2~~ ..-:>D9b? Items Cost JOB DESCRIPTION 1000 sq.ft. or less \ $ 85.00 A/t:1.u/ < ~R Each additional 500 " sq. ft or portion 1\ Permits are non-transferable and ex~!te thereof ~ ,if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor \\\\Uu \}f.(I'h>;r. ~ v.1 ~--k> H:f- Phone J../l'S-J,l:'l9 Address \:4.. '::-:,\ "- ") Ci ty f'f\r".!wA <." Supervisor License Number I n{J(oS Expi ra t ion Da te I ()-I-Ci ;- Constr Contr. Number Gc~\4~ Expiration Date q-I../ .q:; Si~~e of Supervising Electrician ~~--~./~ Owners Name U g ..L. Address 1>99 0' ~. ~ '7 <ld-&,1'd6 5. -";::1 City -:S'~D. Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: .~ )J;fip,;:? d /ft/Y~/...:;;> DATE~--~--~-~--~-Il:J~t2i ~-------- RECEIPT JI: J _ (\VI i ";--,, REC,EIVED B~ lJ. Y(L./'~ COMPLETE FEE SCHEDULE BELOV 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 , Sum $ 15,00 ysc; 30 $ 40.00 $ 50,00 S 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 S 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Add it ional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ $ $ $ 36.00 , cJJ ,/r~. .=.,......:0. .~~\-1?) 40.00 40.00 20.00