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HomeMy WebLinkAboutPermit Electrical 1993-6-18 \ T~- .~ ii -+.......,~ ...~:"..,;,~,... ,- 225 FIFTH STREET " SPRINGFIELD, OREGON 97477 : ., .;, _,_.~G ~~~~~~IO~2~~~~T: 726-J~~~..__~/1.~Jq? t.!..:'.:~c:':'~:r.' =:Z-.:', ...,,~. 1. L9~TION OF ,;t:NSTALU. TION ~"".2/ .("~/~~~AJ-c LEGAL DESCRIPTION /'-e!''?2. S ~~. ~~~Ic;/ . v v' .. ' /. ,OB DESCRIPTIO~. ,~~ ~~~~/_~ . - 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-0 KG. ~;bljbJ;J Addres,:; 'Q-I-37 I rf)6Il ~ :JJ ' C1ty~jJA Phone 7'16 1'6510 supervisorCLicen.se Number 3 I '-l f)S 10 -1- Q.C:: Constr Contr. Number Ll. f) Iff q Expiration Date 4 - -::24 - q 4 Expiration Date ., . Signature of Supervising Electrician ~4lOllli ~ _~JJ Jt1~d{'Jlt}(J1' D. Owners Name/~~~c.. ,~-'.., Address City Phone OVNER INSTALLATION The installatiori is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 6~ ::, e::? RECEIPT.: ~~'";? RECEIVED BY: //~ ~v--r" ELECTRICAL PERMIT APPLICATION Ci ty Job Number %A ~~~ COHPhRTE"'FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 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 Services or Feeders Installation, Alteration or Relocation 200 amps or less ,201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit I $ 35.00 .55-" Each Additional Circuit or with Service or Feeder Permit 4 $ 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 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 9"=5 5% State Surcharge ~.~~ TOTAL ~v:5