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HomeMy WebLinkAboutPermit Electrical 1993-1-11 $1.IIINt.:.FIl.;.Ll> , t t:' gul---mi';~'~ h~~ Hl81f..lHI.;','1; . ... -. '.~,A "\ The following pr~Jec ..a::q~ u\":'e ~~~"2,d1ic !;:!.;l-j usa ~J'f zon:ng. u:1d doo", 001. r... . . ~... 225 FIFTH STREET approval. h D <?'" ELECTRICAL p.ERHIT APPLICATION SPRINGFIELD, OREGON 97477 Zening__ - q '":2 ("'()2" / . INSPECTION REQUEST: 726-37~9 1 ~ \ )- cr3 .. Ci ty Job Number " ) ) X OFFICE: 726-3759 D,,,e_. --- s<: _ Autherized Slgnature~..--coJlPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION S-~S- C ,TY V,e:c.....J. -1 [it)~WION ()42/fJ JOB DE~CRIPTION . c,:><v \.(, II.....<Z. 5 ... c~,..: tv Sv <: ~ , Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRAcToR INSTALLATION ONLY Electrical Contractor ApT Address IS c:n ?"'...... / City ev~~......... " Phone ) Supervisor License Number '9S-z...~u= Expiration Date /0-1- '73 Constr Contr; Number <:;;i"i'i'-f Expiration Date 'f- 2'7- "i J Signature of Supervising Electrician "lf2. ,VI;~. _...Y Ollners Name 12"" 1,....-../ Address S ~. Ci ty Phone 1 t... {" - 't Sot. ("'-"-- OVNER INSTALLATION The installation. is being made on property I ovn vhich is not intended for sale, lease or rent. ) Ovners Signature: ~~~~~==-~----r=~:~~~-------~~--- RECEIP'I 11: I 1.--= '/:.L:.r;X RECEIVED BY: (.,,'~~((J~~_r A. Nev Residential-Single or Multi-Family per dvelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less. Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. 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 $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "8" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ $ $ $ $.CO ( . ur.; r<l.J ,if J x 40.00 40.00 20.00 36.00 217.0<7