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HomeMy WebLinkAboutPermit Electrical 1993-6-10 . ,_c ' . .. .~ f)j5..__ 225 FIFTH STREET r / /. SPRINGFIELD, OREGON 97477 r ' . ~b_{.J.:.LV_ ' INSPECTION REQUEST: 726-3,7.6,9r,,-o~ ~;cn~,",o OFFICE: 726-3759 1. LOCATION OF INSTALLATION . /' '~ .~ 41:< c'A#/r<-> MR/// ..:t'd, 12~~ ~~~FT0iN'jJ JOB DESCRIPTION .... ,,"',t? /? -'" / >>~ P, r" /J ;7-->J(:JJ <; P 6 -' 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 B. Electrical Contractor ((fJ7);;;J:s. iif,l'lIzrU Address (06% IJ..c?&T ~/J//- Ci ty b//,H.-( P U Supervisor Licen~e Number Expiration Date Phone 34c.; - 74Y2 ';<7/< S /15- /t?- tf.4.. Constr Contr. Number_ <S~ Z:~ Expiration Date -117"-15" -qy. Si~ature,~~~ervising,Ele~cian c.~f#'Z'J / Owners Namellik- (1en:6 ' D. Address \~\\.. ~V\ n '1' t\~ill2 City t) YW 11 0 .... Pho~~ (j l n9l;'tdJLP OVNER ~STALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~~----llQ-~~', -~~~------~----- RECEIPT ,: _ \ ~ _ -- c-fl/ (/( RECEIVED BY: C l'J _, A. -:-)~ . SPRINGFIELD ~. {/ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per ,dwelling unit. Service Included: Items Cost 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 Sum Services or Feed~rs 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 \ $ 50.00 $ 60.00 $100.00; $130.00 $300.00 $ 40.00 -W- C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less \l0-' $ 40.00 \ ilt.Jo 201 amps to 400 amps ~ $ 55.00 ~ Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ ,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 5% State Surcharge TOTAL ' 40~ 4€~ \v\ .