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HomeMy WebLinkAboutPermit Electrical 1992-12-15 Sl'llIN<..;.r-U;L..U 1. ;; l.~( ~f , '" b 't'ed has the following . ~ , The.folloWidngIP~~J~~\ ~:q~!\r:~~ecifiC landElhECTRICAL PERMIT APPLICATION 97/-77 zonmg,an 00",' q~' C Co Of CIDproval. ./J 726-3769 'Zonina ~'" p, ( Ci ty Job Number J) '\ Dale' ~ -- t ~ - '1 ~ 3. COMPLETE FEE SCHEDULE BELOV LOCATION OF INSTALLATI~N'f ' d S"gnature ct.~ , u onze ..;I S-/3~ 'De:i.1 S'7" ~. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: .} 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 l Pjrt3~~N O(fdLf Items Cost Sum JOB DESCRIPTION L(pc..! Vt:>/I---;r 5e c.r..-~:./.y <>'-1' <tL:C- 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or , Modular Dvelling Service or Feeder $ 85.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. $ 15.00 $ ~O.OO Electrical Contractor A t::>T B. Services or Feeders. Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY ,Address (S-~( 7>~c...r-1 SJ. .)' Supervisor License Number ,&5" L-~U.: 200 amps or less 201 amps to ~OO amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Ci ty C- l.;"" tJ "-...Q..... " Phone '3. Yl -/ j () Expiration Date 10 - >0 - 9~ ,ConstrContr. Number S-e:z''-f'-f, C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ~ - Z- '7 - '1> 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ BO.OO volts see "B" above Signature of Supervising Electrician 'r2j)-<f~ Ovners Name D'A '" e/h.. A r- tv,>y Address S4-~ , - D. Branch Circuits Nev, Alteration or Extension Per Panel OVNER INSTALLATION One Ci.rcui t Each Additional Circuit or vith Service or Feeder Permit $ 35.00. Ci ty Phone 7'1/-<gc;:>S""'3 $ 2.00 The installation is being made on property Iovn vhich is not intended for sale, lease or rent. ~~~~-~~:~Li~";-------~---~ RECEIVED By:~k.LO' ~ '--" , E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 ~mitedEnergy/~ _~ $ 20.00 -rimited ~nergy/Comm S 36.00 5. SUBTOTAL OF ABOVE r)(J. DO 5% State Surcharge Ir UO TOTAL 0/ I, OU ~' i' . " ",:' . . , Ovners Signature: