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HomeMy WebLinkAboutPermit Electrical 1993-4-2 *v The ?t'Jli),.'f' ' ZOl"'jn . 00 P'0i:H~t 1"" apprOlfal "~ -'. ..;-' ~:'.J,: ,-",: rl.:h7::"~ ","'l.~ .~. '.!-,. f., .h . 225 FIFTH STREET . LJ"~" ':, Ef..ECTRICAL2JPERHIT APCfLICATION SPRINGFIELD, OREGON 97477 ' Zon;;'] -,? ' '.' . " ~I\ '0 ^c::: INSPECTioN ~OUEST: 726-3769 Oot01, I/}L~ ';?' - -" _ _ _ Ci tyJob Number . ~l ') d -'l, OFFICE: 726-3759 -. -~--L "- Aothori.zed Sig-,.", - ~C HPLETE FEE SCHEDULE BELOV 1. "r.p~~TJQN <l!l ~!...ALLA~ION Jl' "'UJe_ - I rY , U! ' J 'tC:)' ',)1 1 All J. <:L-> dl J/LJ A -r wResiden!ial-Single or ,. '.' Multi-Family--p-er, dwelling uni t. . LEGAL DESCRIPTION Service Included: '~D.~CRI 'N. . . . , \, Q . permi:s are non- ransferable 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 Address City Phone Supervisor License Number Expiration Date ., Constr Contr. ,Number :i- Expiration Date . Signature of Supervising Electrician Owners Nam~~ ~, 0.n1\~D. Address ~ l J-lUfl ~ City ?~ tQ) ..Phone 7:2 b -2,~\!..J OVNER INSTALLATION ' . The installatioh,is beirtg made on property I own which is not intended for sale, lease or rent. ~eJ! Signa'~re:. . / ~1uL)1<VVLh "i ) ~ r , /., .'f' - - f DATE~--------~-~--/5~~~~~---- RECEIPT 1: ~. f)~ ~~,., RECEIVED BY:,\. /MLJ~ i - J - . Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft ~rpor~i~n thereof. ' , EathMantif'dHome or Modular Dwelling Service or Feeder , -- $ 85,00 $ 15.00 $ 40.00 . B. Servf~es or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50,00 201 amps to 400 amps $ 60.00 ~01 amps to 600 amps $100.00 601 amps to 1000. amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 1'\ 200' am~s or less t $ 40.00 4f) 201 amps to 400 amps $ 55.00 Over" 401 to 600 amps '. $ 80.00 Over .600 amps or 1000 volts see "B" above Branch Circuits ~ ' , ; New" Altepl don or. Extension Per Panel One. Circui t' Each Additional Circ~lt or,wit~ S~rvice or Feeder~P~rmit $ 35,00 $ .2.00 . E. Mis(:ellaneous ($ervice/feeder -Each installation, ~~~p or'jrtigation Sign/Outline 4ighting Limit~dEnergy(~es ,Liinit~d, EnergY1.Comm not included) 5.. SUBTOtAL OF ABOvE 5% Stat~. Sur-charge TOTAL . $ 40.00 $ 40.00 , $ 20.00 4:t~ -M :C1f