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HomeMy WebLinkAboutPermit Electrical 1993-8-25 "\,' , " The followino proiect as sU,bmitted,~as the followi zoning' ~ .'" " , '::,,::~,,,:T sr-- -()!,!C k:xld use ! 225~IFTH STREET approvai. ' ELECTR\ICAL PERMIT APPLICATION' SPRINGFIELD,OREGON 97477 ".., . ,_ Wf-- \ ' INSPECTION REQUEST: 726-3769 LO~'C:., , , Ci ty Job Number e::7 '3//67 OFFICE: 726':"3759 Date 1) '}-'o A18 " '~" ': . - J. 3. COMPLETE FEE'SCHEDULE:',BELOV 10 LOCATION OF INSTALLATION')rized Signature~\j- , .". _.-'""l} '>'-" /?7" A/~Ai' ,~~., A. LEGAL DESCRIPTION / ? ~ -:r:!J- ':.J ~ , c;q~dt:::> , JOB 'DESCRIPTION ~~<~ /~7 4~~ Permits are non~transferableand expire if work is not started within 180 days of issuance or if work is suspended for 180 da'ys. 2 ~ " CONTRACTOR INSTALLATION- ONLY' Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ,~ Owners NB;mep~ L. (?~/.//.s Address /7$1 &~#',.4VE ' . ", - City~ m:., Phone ?7/?-/A/S- O\rl~t.A INSTALLATION " The installatiohis beirig made on propeity I own which is n6t intended for ~al~, lease or rent. ~at~r. ~ ------,----~---~----------------------- DATE: 8..,26 -9~ , RECEIPT I: - /~~ 7 RECEIVED BY: //~ r/,/ New Residential-Single:" or Mul ti-Family per dwelling uni t. ,Service Included: . 1000 sq.ft. or less Each addition~~500 sq. ft or portion thereof E~ch Manuf'd flom~ or Modular Dwelling Service br Feeder B~ Services or Feeders Installation~ Alterations or, 'Reloca t ion: 200 amps or less 201 amp~to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 $ 15.00 $ 40.00 ~ $ 50.00 tfiiP- ~ $ 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 40Qamps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 5~.00 . $ 80.00 volts see "B" ~bove New, Alteration or Extension Per Panel One Circui~ $ 35.00 Each Additional Ci rcui t or wi th Servi'ce or, Feeder Permi t tf $ 2.00 ~ 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 TOTAL ' not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~-- (' ':<.:7tZ)' --6t1>~~