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HomeMy WebLinkAboutPermit Electrical 1992-2-7 225 FIFTH STREET' , SPRINGFIELD, OREGON 97477 "~":$? INSPECTION REQUEST: 726-3769.i'\ ~O\~\t2CtA~ Ci ty Job Number OFFICE: 726-3759 \'r-e:o~;0006~ 1.0(\\~~~i9-\' 3. COMPLETE SCHEDULE BELOV 1. , LOCATION OF INSTALJ!1'ifiON l.of\\~ \ ... 16(), (''::>,V7;;lIlldl C\.I).~ ew Resldentlal-Slngle or ~, 'O&\e~~' Multi-Family per dwelling uni t. 1?(jG~~~N n~() Service Included: Items Cost Sum JOB DESCRIPTION ~ , f(-e.p/ ~~ e -1- tE.r/(S{/i1I~ l!c4-.(evs , c-:1 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 Electrical Contractor L aA c 0 Address <Bff'1t)6;~t'_CLlel RdJ .... CitYSft"/~?;e/afl Phone 72-'-'-9<11-7 Supervisor License Number j.R b - .> . Expiration Date. Io/~~/ 9':E- , Constr Contr. Number C (B- i8"-=j'G 7 3/~/9z- I I Signature of Supervising Electrician ~A-A.I ~ ~ '~wner(Name CJ{Lf\ OlD ~tY1, JLO Address 10(04 fj v{)/n Jfu ~ri /Phone I \ OVNER INSTALLATION Expiration Date City The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED. BY: ;z"-7-72- 3 7o:;~ (~; 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 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 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 Servi.ces or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to, 400 amps '\ Over 401 to ~OO amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel, ~<.{-l { t>... c.. e 1- f:-~;:;. r t~r~T eJ/~ ~. :: One ~ircuit ~ $ 35.00 ~ Each Additional Circuit or with Service or Feeder Permit $ -2.00~ E. Miscellaneous (Service/feeder not included) ~Each installation Pump or irrigation $ 40.00 ~ Sign/Outline Lighting $ 40.00 ( Limited Energy/Res $ 20.00 Limi ted Energy/Comm ,$ 36;00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' ~L" - ~'-.J .F ' I. "? ~ '? /" 7.....-.