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HomeMy WebLinkAboutPermit Electrical 1993-12-20 . . . SPRINGFIELD The jollowl~(j "tolae! as uubmi:led has the follow!ng zoning, and 'joes not require specific land use 225 FIFTH! STREET approval. J D ~ ELECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 . h . ~~ . ~ INSPECTION REQUEST: 726-3'b~ "a-, City Job Number 7 7/ '3 C;--~ OFFICE: 726-3759 Dete IDbQ\~ 1'd--cJC)- (...7 1. LOCATION OF INSTAI!tl~ Signaturo_S 5 3. COHPLETE FEE SCHEDULE BELOW /,50'7 Qw"..'ALr A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /?..;j ~~..v/. ~ 'i''>~ > JOB DE~CRlPTION /(X) I'tM/.l Q-c-u fo S~OO 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 15to/lllt:Gn.tLGu'2/C / Address :'i'U:~ Litt.X.K~ iG1> Ci ty ?u.\:.,...<2-.U> Phone M~J- 17&-~ Supervisor Licen_se Number 38-03 S Expiration Date oh(hJ- Constr Contr. Number 7l"'j)'t"- Expiration Date /aI3/9'?' Signature of Supervising Electrician ~/~~ Owners Name t?/r~ '<)~f+i Address /307 LfUH/..../1 CitY~.aA(r~ Ii Phone OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: /tD _':<>cS"",? "3" RECEIPT I: /~9 RECEIVED BY: (~ '~~ I . Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 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 amps/volts Reconnect Only $ 50.00 5e:A-- $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service / or Feeder Permi t l.( $ 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 $ 36.00 5. SUBTOTAL OF ABOVE '5"8: oC) 5% State Surcharge 2_~~ TOTAL ' ~.~