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HomeMy WebLinkAboutPermit Electrical 1992-7-22 r S."'IIN(;t:IL:.LU Tho lo'low!nn project as submlllod haa tho following tif :''- "C", and doeJ not require specific land use ." 225 FIFTH STRlmT . ",! ELECTRICAL PERIlIT APPLICATION Sl'RINGFIELD, OI\EGON 971,71 (lti n II\()('" ~ INSPECrrON REQUEST: 726~3'r~j ~ \.: Ci ty Job Number '1 ~ . ).J/ OFFICE: 726-3759 I'." 11,[t ~ t.,.~>:)!,jz.ed Signature p-;t.( 1. LOCATION OF INSTALLATIO~ //'it/_v-f a h ~-:::;tt?l~ . lll~~~~mIO {)D () .-- - JOB DESCRIPTION - c; ~ (l,n:7f,,, ~'(il 1.!'".a.o7fA:-.I ntJ.o dJ ' Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto~~~ . Addl:ess I?OI ~ vfprlJU J - J Ci tY{I~1 Phone.QLa]XOd.- 7 Supervisor License Number ~~~ Expir~tion Date 10\~d- Constr Contr. Number~~l~ Expiration Date ~Iq& Signature of Supervising Electrician ~ V.LJl rft\(l J . v l'~~::r1j - Owners Address \ \ Ci ty ~.\ OYNER INSTALLATION The installation is being made on property I ovn which is not intended for sale. lease or rent. Ovners Signature: ~~~;~--------fl-~!IfI-t1~~---------- RECEIPT II: \J).../ ,V"j,rtJ.O'f RECEIVED ny: ml}" 1_) 3. COMPLETE PEE SCUEDULE BELOV A. Nev Residential-Single or Multi-Family per dvelling Service Included: uni to Items Cost Sum 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 $ 15.00 $40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps S 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above --- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circui t J Each Add it ional Circuit or vith Service or Feeder Permi t ,,;)0 S 35.00 06t:t.l $ 2.00 LIlJA) E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ $ S $ '7'5~ F3~ --zr:;j) -:7 5 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL