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HomeMy WebLinkAboutPermit Electrical 1994-10-13 ;;.......\.. . :.,,~,. : ....-.." '::'.' ':'''''''..'.' .:a /'FII1"".' f :;, h" ~ :.,:,::.~ r; .;',.";t.~ t' -' .' .' ~ J'I, ~ . The following proj",...t' b . . '. 20 . ::." ~'. as !lU . m/lt.E'rl n~s th"'f""'~fIlB..TCAL PERMIT APPLICATION . nlng, and doG';;, nG\ ,.,..,:, '1;'",'"'''' " ....,. i , .J'L:D~,.I.'~'<f- approval. .' . ..,.....,:...,,;j'.. .<.(, c:s;y Job ~umber q 4/5 Lo g .~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 .S ~~~i~~IO~2~~~~T: 726-3769 t'OLoning l",Oe,. Date '-I3-trL.t 3. 1. L~~I<AN OF INSTALLATION . .'. ' , I u"+. As C"a.AYhon1.6d Slgnature~ \ ). n LEGA~ D~S~TION /"""V""\ _ID,~~~) (JOLLA..../ . .. .~~juAi~-=- ~.~~n.~li~_ ","" {~' . ._ _0' ~ ': ' Perin{t'~ -ar-e 'non-tra - .. el!~ble and ex ire if work is not starte'dwithin 180 days of iss~ance. or if work is suspefided for 180 days. 2. CONTRACTOR INSTALLATION ONLY . B. Electrical contr~c~ U\.cloX&JlC:" AddressdC1a~ Phone ~S. m~ a Number~q1rP \(). \ .05- Constr Cori"tr. Number (ry\'2..C\ lo \~.\D'CV\- City SU~,ervisor Expiration pate Expiration Date SiNsu~Cian Owners ~ameJn(}fl'l)I'+ll' LL~ ,(~~. Address 10<4 ~s6LrU Ci ty ~ fL-., p~one 1!lfo1?i)1 o~ tNSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------~--------- DATE: , I{) ./:3 ''-11 RE<;EIPT #: 'L.......J. _ \c:::..~ RECEIVED BY:-/V,L)I?) J..}-\-,.J "--- / .. - COMPLETE FEE SCHEDULE BELOV NpW Residential-Single or Multi-Family'per dwelling unit. Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof' - . Each Manuf'dHome or Modular Dwelling Service or Feeder Service~ or Feeders Ins(~llation, Alt~rations or Relocati6n: ' 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel ~ One Circuit L $ 35.00 Each Additional Circuit. or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Ou tline Lighting ,> ,- I Limi ted Energy/Res - .'. J Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL " ~ not. included) $ 40.00 $ 40.00 rA-''',; $ 20.00' $ 36.00 r.:2:/~ge]. -; rL31'.E'~'~- ,- -.l {..DS . c. 1_- (3-'}'"oo- u