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HomeMy WebLinkAboutPermit Electrical 1992-7-31 -'I 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. l t)(')f) f{ ~rr~t\TfYN W l~ l ~~C5ffi~ () 3dfj PflB DESCRIPTION ir- ~) (\.1 lI. (\ 0 0 J' .L ') -... -- Perm1ts are non-transferable and exp1re 1f work 1S not started w1th1n 180 days of issuance or 1f work is suspended for 180 days 2. CONTRACTOR INSTALLATION ONLY Electr1cal Contractor Address Clty Phone SuperV1sor L1cense Number EXplrat10n Date Constr Contr. Number Exp1rat1on Date Slgnature of Supervising Electric1an Owners Nam~r1'0H, L~osrYJ Address\tm 0~f(-'tJKlO C1ty 5i?,~f~ Phone-Xl-6/:n OVNER l~TALLATION The 1nstallation 1S be1ng made on property I'own Wh1Ch 1S not 1ntended for sale, lease or rent. Qers (:[:~:~ o. ~~ / f-----------~---~-.c<-----(------~ DATE: 7-3 (- 9'2- RECEIPT 1I:'-' L--~i-l'_,':+_ RECEIVED ny: ~ \\~n~ = C1ty Job Number 3. COMPLETE FEE SCHEDULE BELOV A. New Res1dent1al-S1ngle or Multi-Fam1ly per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portlon thereof Each Manuf'd Home or Modular Dwelling SerV1ce or Feeder $ 85.00 $ 15.00 $ 40.00 B. Serv1ces or Feeders Installat1on, Alterations or Relocatlon: 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 Serv1ces or Feeders Installat1on, Alterat10n or Relocat1on 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80 00 Over 600 amps or 1000 volts see liB" above D. Branch" Circui ts New, Alteration or Extension Per Panel One CHCUl t ( $ 35 00 ~.(j) Each Add1 t\onal C1rcu1t or w1th Serv1ce ~ O() or Feeder Perm t / $ 2 00 ..cf-.- E. M1scellaneous (Servlce/feeder -Each 1nstallat1on Pump or 1rl1gat1on Slgn/Outl1ne L1ght1ng Limited Energy/Res L1mited Energy/Co~m 40.00 40.00 20.00 not wcluded) 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ 36.00 '-~~ qO I,m .:) ~ .co,