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HomeMy WebLinkAboutPermit Electrical 1994-7-14 C l'_/i '~-' 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ,r}f)!J ~ION O~fY) ~lffrI<f'O\O . 'Permits are non-transf~nd expire if work is not started within 180 days of issuance or if work is suspended for 180 days~ -' A. New Re~iderrtial-Sirigle or Multi~Family_ per dwelling unit. Service Included~ Items 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Cost Sum , . ' The follOwIng project 8s submitted has the followlng zoning, and does not require specltic land ~: epproval. W . , /' ELECTRICAL 97477 Zoning . 72~7697-}~q't Ci ty Job Number Authorized Signature (1. ryv COUDT'l'1'J1 ~EE SCHEDULE BELOV LOCATION OF INSTALLATION 900 Beltline Road $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Atlas.Electrical or Relocation: Address 4403 SE Roethe Road City Milwaukie Ph - . 503- 659- 2212 one Supervisor License Number 10915 Expiration Date 10-1-95 200 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 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 1532 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Da~e 9-3-95 .. . . - .. Sign~e o~u~ervising_Electrician ~---,/~ ~ - -..:::>- 7 Owners Name Shari's Corp. Address 8205 SW Creeksjde PL - #0 City Beaverton Phone 503-641-6338 OVNER INSTALLATION The installatioh is beirig made on property Iqwn ,which is not intended for sale ,lease or rent. Ovn.ers Signature: fiATE~~~---~--~-l--~~-r~~~---:-~ RECEIPT t: U II' ...... -. "J.(\\T ~ RECEIVED BY~~) _lA. ~ .. 'v 1-..1 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see liB" above New, Alteration or Extension Per Panel -OneCircui t Each Additional Circuit.or with Ser~ice. o~ F~~d~rPetmit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) ~Each installation Pu~~ ~~ irrigation $ 40.00 Sign/Outline Lighting $ 40.00 ~imited En~t~y/R~s $ 20.00 Linii ted Energy/Comm L $.36. 00 -~ C:, 5.. SUBTOTAL OF ABOVE tI ,'1 (~ . () 6 5% State surcharge / . riD TOTAL f/ .-:? 't . q 0