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HomeMy WebLinkAboutPermit Electrical 1995-8-1 , -, The. following project as submitted has the following zoning, nnd does not require specific land' '56 apprc.l/al. 0..1 Zoning l])t/ JOB DESCRIPTION . . . lJ..:'l! ~ ) r Co , t 'I\fll nlIU 1 (\ l r\.J (1 [rt1 ditimww 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 B. Electrical contractor~S PO~. Address P, 0, ile--t. 14- -g"J-> . Cit~~f~A, Phone '1tfl-~"'1k Supervisor Lqcense Number 1105lb.<\ Expiration Date 10- 1- q.''', Constr Contr. Number 03'21/9 Expiration Date q -1-q5 Signature of Supervising Electrician /2 ~ (/- 7b//Ld/ ~ers Name~J\j~R~~ Address /3(,,0 P~.Qfl~ -ut. CitYJt1t\lm~:otJ.J Phone qrt411 O\INER IN TALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: ~~~~:-:~--~-f-~~q~-~~~~(~-- RECEIVED BY: C7'J ~ / . ELECTRICAL PERMIT APPLICATION 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular.Dwelling Service or Feeder 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 ct5 \ 'll.o5 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 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 72~~~ City Job Number OFFICE: 726-3759 ~J~ , Authoriz<>d Signature_N'vi . ';:OIlPJ 1''1'1' 1'1<F. SCHEDULE BELOII 1. LOCATI,QN,., OF INSTALLATION i 3b(.., fJ, l.lo CHI l\rn.~,,);-. A. New Residential-Single or ~ Multi-Family per dwelling unit. \~ ld..~N t)\oOOU Service Included: Items Cost $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel .' One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 ~O $ 2.00 ~.DD no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline LightinV Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 .11.00 1.S1~ I. I J 'lq (\ l,.,