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HomeMy WebLinkAboutPermit Electrical 1994-4-19 '~. . SPRINGFIELD The, following proioct es cU,bmllted has tho following ,., ZOnJil9. end dOSG riot require specific I~nd lmo 225 FIFTH STREET epproval. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ' (J)~ n 4/'\ /10 INSPECTION REQUEST: 726_376';fn1na Ci ty; Job Number \J\ l )5\ OFFICE: 726-3759 Date f-1Q-9Y i " ' 3. COMPLETE PEE SCHEDULE BELOV 1,1 ~~tIPN OF INSTALtA'T"fBiid Signotur. IJ M 1~5"U~onl.1nmt..Jt:- A. New Residential-Single or Multi-Family per dwelling unit. Service Included: '(j~f~ON \L\ldYJ JOB DESCRIPTION . 0 ~~,M,. ~t1lmd.,m'lO. 3olllYl.'fl OlMwtl, Permits are non-traftsferable 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 Q.~S (';;I~~(\t~(\'I~' Address P. 0, ~'1' 11\.-'21--> CitY'~r,\\~"(\~~\A) Phone '141-11~6 Supervisor Licen.se Number I b 2h S Expiration Date lo~ I ~q~ Constr Contr. Number o:\S'(dq Expiration Date q-l-qJ Signature of Supervising Electrician . 0--# ~ ~~.,- Owners Name (1 flJ R~iYyr;& Address I~S4-J, ~ OClill\(6\\. i\t. CitY~I\i'mC),~Phone 9'14-'1'1 OVNER IN~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE: RECEIPT 11: RECEIVED BY: -~-----~~-t~~2t-----~ J _ 1}4 -<'l~VJ ( -})If)(;\ -:-) , Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 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 D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel One Ci rcuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 .35".00 $ 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% State Surcharge TOTAL ' ::{~. P-Q , 'l~ ::lJ, rf,"f