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HomeMy WebLinkAboutPermit Electrical 1994-1-11 (2) . - SPRINGFIELD bmitled has the lollowing 1hz io!\c,'/I'tn9 rrojod't as suU"re 'pecitic land use. . nd doaG no req ., 225 FIFTH STREET zonmg. C ELECTRICAL PERMIT APPLICATION SpRINGFIELD, OREGON 974Ti,oval. c.....C INSPECl'lON REQUEST: 726_3769,r.inCl OFFICE: . 726-3759 [,te \ \ 11111-- 3 1. WTION OF INSTAI.lATi[-ON:ed Signuturo~ . -1/ 'j #, 6&{Etb~ 1I, A. LEGAL DESCRIPTION 1'710< :2.:2.. '2-<0 '2-4' 6'0 JOB DESCRIPTION ~~o/--:Zf.('?~- 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. CONTRACIOR INSTALLATION ONLY B. Electrical ContractorC,...., L"..!' >Lh'l/~ Address tiS ~ tA/datM(IJ( . Ci ty E uc...., ~ /I'lC Phone ,) W - Sf z,c/ Supervisor ~icen.se Number ~:51-1Jl-e Expiration Date '""')- (- 9'1 Constr Contr. Number 9 (/ 0?J Expiration Date cS>qcj Signature of su~ervising Eiectrician ;;; 1'(0 II. )// cfv t- ( .. ~ .:...- Owners Na,me h~ 1'TA<,7'C' Address II 7- .g, 0e< <: I/J{'Al./ {.. (J. Ci ty ~~'t M.Jdlf Phonefd2R -D q! h OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: --------~~7C-------------------- DATE: ///1/14- RECEIPT I: J ( Ii <; '( b:> RECEIVED BY: d~-~ City Job Number 9 31 :?"rc.. COMPLETE ~E SCHEDULE BELOV New Residential-Single or Multi~Family per dwelling unit. Service Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sq, ft or portion thereof ,Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85,00 $ 15,00 $ 40.00 Services or Feeders Installatfon,' 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 $ 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 $ 40.00 $ 55.00 $ 80,00 see "B" above D.' Branch Circuits New, Alteration or Extension Per Panel One Ci rcuit Each Additional' Circuit or with Service or Feeder Permit $ 35.00 $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20,00 Limited Energy/Comm 1- $ 36,00 ~ 5. SUBTOTAL OF ABOVE 5% 'State Surcharge ~OTAL ' /6~'" ~/-? " () - ?:IO -z 7 ~q .- .?~ 4'1" . "'1,;;:.0