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HomeMy WebLinkAboutPermit Electrical 1994-5-24 J~~i~o"oWjng project as submitted hal?; ~h< '''!bv.tl, 225 FIITH STREET. g, and does not require s......."/.c' ELEI,;Tl<.'N;AL approval. ..__n la....... '0.'. SPRINGFIELD,.OREGON 97~77 ~/1 INSPECTION REQUEST: 726-3769 Zoninp LV Ci ty Job Number. OFFICE.:' A..26-375. ~ . -'.-f.'ates--~}"-I '~ Xj \~)~ 3. COMPLETE FEE SCITEDULE BELOV 1. L9cA'QON I.STALLATI. O~~nature U.M. . .. .qr;..i/l:lrl ~ .~..Pt:tlAkJ- {Jh.f- A. New Residential-Single or tfe. . 44 Multi-Family per dwelling uni t. \(\LEGA..,L DE cRijjfio~ A/l() Service Included: . \D~\ ~0()'-......CX~ Items Cost Sum JOB DESCRIPTION Sj~h 5 Permits are non-transferable and expire if work is not started withi~ 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY ~ Elcctrical Contractor Mtitll"ft'... &ti.(. /~ Addl'css . ttJ'-f .Je{{,HfJ"" Ci ty .6_I/tQIWl (1. Phone. 3'12- {7J4- Number if tr3r 5 Supervisor License Expiration Date Expir~tion Date CciIM f( ~.q.~ Constr Contr. Number Signature of Supervising Electrician ~~ J:twd Owners Name {~C, tfP(<k1.111cP""fJ Add ress t;{;AOJ ).Lv. W{Jj~(rJe Ci ty IfflivevfDlf\. Phone hill OVNER INSTALLATION The installation is being made on property I own which is not iniended for sale, lease or rent. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel .$ 35.00 $ 2.00 not inCluded) $ 40.00 $ 40.00 ~ $ 20.00 $ 36.00 2'(1) '...0 --------, . e::.-~-~-A--------~----- 5. SUBTOTAL OF ABOVE <..y-.;e AID DATE: :--.....J~. -.-.'~..". _c.'J.4.~_I~_~ .-.... 5% .State Surcharge _'-I. - ~B'. '\ . RECEIPT #: ,It. ~-~- ~:.~- J.~~ . 'tOTAL, . ~VlL( ~ RECEIVED BY:__L.; .. ~'~.A .. J [5. l"'\n ~~~I\LoOr\) ~\~~ . c'._C.' . ~c9.~~~-t>.QXVf\lt~'j 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 D. Branch Circuits Owners Signature: One. Circui t Each Additional Circuit or with Service or Feeder Permit E. H~scellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting~ Limited Energy/Res Limited Energy/Com~