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HomeMy WebLinkAboutPermit Electrical 1992-10-26 60; l.e Pep \A.L..- ~"'f ~. 225 FIFTD ~1~~1 h~~~CAL PERKIT APPLICATION. SPRINGFIELD, OREGON 97477 submtttBdh.;~~oduse . ~/ INSPECTION REQUEST: 726-37~.,j, no,^,n9 P(ojOC\~quire spacIII Ci ty Job Number q -2.-/ q.. 9 D ,Q.Ws:&: 7~,:;n5?.o f\, ~'s.sl1ddoesno. , (UJLP J\~-'=/; 0' l.....A...H.ciL \ -N)J. ~E PEE SCREDULE BELOV 1. LOCATION OF IN~ALLATION Z~~~:;L<6-'1:"" _()./#fl. ~'Tr'F1I'vt.: Sf AT 4C!7Sz,.~. New Resi~'l"-Single or . t' --~, ./ , CO\9__ t"O ~ 'u"~ily per dwelling uni to c\gna""-' ~ LEGAL DESCRIPTION -1_ ~u~o~zod~ Service Included: /7?J 3 g'5 2- / '7'-?C:rO ,Items Cost Sum JOB DESCRIPTION A/mJ ') J' ./f/ti / ~E 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 Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Nani~~tJ ~ ~ 1\ {1;( Address c9 ~ ~a ('!\il Ci ty r~ nW ~hone O~ IN~ALLATION - ~ i n-S i(qn~0t - ~ -47Tf5 The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ,J:I-2J;:~ -1J 14rnJ. - ______________________L_~______________ DATE: /0 -2e" - '7 2 Rr.'-~J.~" ii: - /-.. ') % 0 RECEIVED BY: ~b7~ 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 I/" $ 40.00 4tJ.CJO 201 amps to 400 amps $ 55.00 Over 401 fo 600 amps $ 80.00 Over 600 amps or 1000 volts see uB" above Branch Circuits D. 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 -4'11,00 5% State Surcharge . Q.cNP TOTAL 4200