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HomeMy WebLinkAboutPermit Electrical 1992-9-22 S.-IIINCr-IELD ..... ~d \"105 t e l~~'~' ~'" """, 1~'o,#in9 ,prO\0C\~~~~~~~~eac\\iC land lk.fJ .~, 225 FIFTH STREET ~:;;,\~~9. .nd 000r. ,,0 c.. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9747//'I':ov,,". C____ INSPECTION REQUEST: 726-3769Zcniog_ Ci ty Job Number q:l,.:<.:<;z OFFICE: 726-3759 ~'fQ: _.-----: C."-...- _. :.'e ~_-GOMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION;::.,-J"'\O'.~'" - Ilb.t-, ~n.' n '. #': A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION \ I O~ 2,<, Lf I () i,(_fJ'::J .L;l!J~ONju_.~,L~ \, <>' f"'"' 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 POoLtiliJl, ffllln.-. Address_P,t)~. IJ~1.-- CitY~OOJ ,Phone 141-.?-1.3~ Supervisor License Number 110 2 1,.,5; Expiration Date 10-I-q~ OJj&4q q - / -- q3 Constr Contr. Number Expiration Date 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: "Ih.:rI'3")" (.,)./1 lOP. Items 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 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 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 Signature of Supervising Electrician r/7~zf:. //J-~;}~ ~ ~ .j) [ , ~D. Branch Circuits Owners Name}Jl1YolY\J A. It r~ 1JV\A--~~ w,Alteration Address 30:31 II~~ City f'll?!lY\O. Phone 42~-2 ~50 OIlNER INSTALLATION volts $ $ $ see "B" above 40.00 55.00 80.00 or Extension Per Panel / "J .st:- $ 35.00 .7 J Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circui t or wi th Service_ or Feeder Permi tb E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 0<- 2.00 10- not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 J-j!:?~ 1...1-':'\ ,+1. ~::l