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HomeMy WebLinkAboutPermit Electrical 1992-8-12 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 5"2Q W, L!~~~J4L LEGAL DESCRIPTION /?~O 3'...:;(?- '/3 <?S-89C5 / trl" h:lir> ' ' ti, ~Cj;!I'l(: \)/:~ID iJroj~t;"t a~ , . E,LECTRICAL PERMIT APPLICATION ep :.;, an... doe ,., , <;'Ij!JQ,'.rll"p/ k PrOltiJt, ~ <.01' require, ~;.. "'-.'.'aSi he f.'/I ()Z C") /l ./ . . Cff~c !Jl(jti I~NJ~Wer T I f):J ( t/ A\oflll1g Dete et. t ." EE SCHEDULE BELOV A~horgGdS: ~. '9nt/l}re 'esidential:-Single or . . Mul 1__ . '~elling unit. . Service Included: Items Cost JOB DESCRIPTION a tDb t5'-h7J:l~a'JP.-1 /f1Rnc::>/J. 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 rr-{~pJ'r1hJ t.fUn... Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $.15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: Address I S'Z,. 5 PtJYV('~ ~s: ~ (L~ r- 200 amps or less $ 50.00 ~Lf2~?rSr~~ 201 amps to 400 amps' $ 60.00 City rf\)e. Phone 401 amps to 600 amps $100.00 30'1 S 601 amps to 1000 amps $130.00 Supervisor .License Number Over 1000 amps/volts $300.00 \0' arL..-- Reconnec ~ Only, $ 40.00 Expiration Date , C. Cons t,r, , COI1tr. Num~er .C{.--U;-~ I "lD~"ZO be Expi~a tion Da te /0(1 F::r V) 10/( Jq '-- _, Si7nature of Supervising Electrician hL 'M~ j 7;~~ Owners NameFr<.trAJC I ~ +rrMt.. rc.; Add ress :f;''Z. <7 -fA f ~ <! 'f7I./fL-"7JiAJ I n-<-- CitYa-uG-~ ~ Phone74"7 - 097.", OVNER INSTALLATION Theinstalla~ion is being made on property I own which is not intended for sale, lease or rent. qwners Signature: ------------------------...:._-~:~.,-~~...:._------ DATE: . . ~;/~:5?~ RECEIPT #: 5g6? RECEIVED. BY: ~~ ~-;.. ?/ //, Temporary Services or.Fe~ders .In~tallaii~n, Alter~tion 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 "BIl above D. Branch,Circui ts New, Alteration or Extension Per Panel .' J 0S.~ On~ Circuit . -' ~ $ 35.00 Each Additional Circuit or with Service ,;2~ or Feeder Permi t I $ 2.00 E. H~sce11aneous (S~rvic~/leeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited ~nergy/R~s;$ 20.~0 Limited EnergyjCo~~$ 36.00 5. SUBTOTAL O~ ABOVE '3 '7,~ 5% State Surcharge 1.8~ TOTAL 11 '3 '/? f?5