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HomeMy WebLinkAboutPermit Electrical 1995-6-20 -~r The following project as submitted hao the follov , ,,~ ' 225 FIITH STREET zoning, and does not ruquir. spucific:BllE(ll1llUCAL PERMIT APPLICATION SFRINGPlELD, OREGON 97477 approval. (1f2-. . INSPECTION REQUEST: 726-3769 Zoning L-v City Job Number Cfr:) oaC171 OFFICE: 726-3759 D.\eJO/~/~-1. 1. kOg.P:Oij. OF ;QiST~TIOli--.Autharized Signetura '!i1'f, . ,?l'lJ -tit? U 1f'.vI Iff. A, i.J LEGAL DES~ION , -1 rtJJ 'J; I V) fJ l.itJ()O J01fSil~~~ 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 ~qd.rt fJ-tft. Address ]). (J . hilt 'l/1 &h Ci ty 1d10(..Vlf Phone (og(p..- ~(Pl ~ Supervisor License Number 3"L LfO S Expiration Date +-?1 ~f / ~ 'constr Contr. Number f)O'J}1'61tJY I ~/7f / tit{ Expiration Date Signature of Supervising Electrician ~~ Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: v!Polat:;.\(1 ' RECEIPT It: Qf./'1U l> $V;IAL./ RECEIVED BY: .~ l;.QHPLETE FEE SCHEDULE BELOIl I ~ ''VI, New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 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 $ 85.00 $ 15.00 $ 40.00 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 ampslvolts 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 liB" above D, Branch Circuits New, Alteration or Extension Per Panel One Ci,rcui t '-- $ 35.00 3S' Each Addi tional Circuit or with Service or Feeder Permi t / $ 2.00 2.. oc E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting , Limited EnergylRes Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ..37/-1 . ,...-- I' ()'? J.r; ?jq. tilt SUBTOTAL OF ABOVE 5% State Surcharge T-OT.\L /J;% +o:hYL--