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HomeMy WebLinkAboutPermit Electrical 1994-9-16 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. fkli#4oN O~ TNS1'ALLATl:ON t ~ fl.N clR ~'..j Lv, r; P-<fI , , I LEGAL DESCRIPTION ' , I C C2.-v '1-r.... f--> "-' I n ( 'Pll1-yk: 1"'!.1"-~ c:i I JOB DESCRIPTION t I, IOn IJUII Fl-r' "3 , Permi ts are non- transfer:able ,and j expire if work is not started within 18~ days of i~~u~ncc orif'wg~k'l~ ~U~pt.~~J ru~ 180 days. I I 2. CONTRAcrOR INSTALLATION ONLY I Electrical ContractorG:.1,9-'bJC'wc.ll~\<:. Address PrD ,80 y.:. ("L/- ~' eN... I f\ _ Cf 7s'?p3 1. '7 ( l;lty~) I (rjy1'o0, I'll, - "hone 7(? q -:1 LJ ) OupeJ:v1')Q~' 1..;i.\';~1I~~ NI..II11UI:4.', 272 J:., S , . I Expira tion Da te I Ch I - q ,~! Cons tr Con tr. Number ~-g c1 C 7 I I Expi ra tion Da te I D- )",'-1- q '-i , I I Signatu~e of Supervising Electrician , !' I (J0J~~ (~~~ i' , "i : D. Owners Name klt)"\ "20"-' Ck.,,-"<" r-tl-'\~ ('+'''' r0 , I , 'D f) I Address I . (). I;) /" ~ S- L cr139~ I Ci tyJ;A \r~.v- r~'r. Phonel 7 Lf '< .-p I () 2- I OWER INSTALLATION The in~t~ll~tion j$ b~ing ~ade on. E. property I o~n ~hich is not intended [or sale, lease or rent. I OWne,J:s Signa t ure: i -----------------------1-.....,-----1-'... DATE: i' I ~1..~J.;;1 :if: I ucr;r~D II r ; I City Job Number ELECTRICAL P,ERHIT APPLICATION 3. COMPLETE FEE SCHEDULE BELOY A. , New Residential-Single or Multi-Family, per dwelling unit. Service Included:' ' Items Cost Sum I 1000 sq.ft. or l~$~ $ 85,00 !:;achaddit1ona1500 sq. ft or portion thereof $ 15.00 Each Manuf' d "'Home or I ModUlar D\lell1ng "j Service or; Feeder S 40.00 i' B. Services or Feeder~ Installation, Alterations or Relocation: $ 50.00 S 60.IJIJ $100.00 $130.00 , S3U(J. 00 $ 40.00 I I ! I I I I , I ~ ! 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 , C. Temporary Ser;vice~ or, Feeders Installation, Alteration or Relocation 200 amps ,or less ~ $ 40.00 9">( 6 201 ~lllpS to' 400 amps .... .,... $",55~OO .!., Over 401 to 600 amps $ BO.OO i Over 600 amps or 100l;' vol ts .see "B" 'abovel I Branch Circuits New, Alteration or Extension Per Pane~ One Circuit Each Additional C!~cull ur wllb ~e~Ylce or Feeder'Permit $ 35.00 $ 2.00 I i not includecp Miseellancouz (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res: L:imi ted Dnergy/Co;.llIl1I s. SUYTOTAL OF ABOVE 5% State Surcharge 3% Administ~ative:Fee "J.'U"J.'AL $ 40.00 $ 40.00 $ 20.00 ~ 36,' 00 'lfD .00 L{rOO_ g- Lf , () L:>