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Home My WebLink AboutPermit Electrical 1992-3-9 .. o,O'.~ .~lEtC\ . \D,),:;.~.t'''\'o..riCI(:':'~ '{\ ~ 225 FIFTH 5<,,"4 .~~~,~,~;~(: ,t....'O~ SPRINGFIELD, OIlEGON 97411 1.<>(\\r.<;l~ A INSPECTION REQUEST: 726_3769t"'.. ~\~ OFFICEs 726-3759' O~.~~~. , -' .sv;;f' 3 '-~ . 1. LOCATION OF INSTALLATl<>>t'O<;. / ~ttr 5"D EOt:rE/J117/Vr ~~ LEGAL DESCRIPTXON 1/ O?3 '-i I .?; (5lJ (dO JOB DESCRIPTION U:;n f7 c,E:e u/e IE- Permits are non-transferable and expire if vork is not started within 180 days of issuance or if work is suspended for 180 days. Z. CONTRACTOR INSTALLATION ONLY Electrical Contractor t..,jj, lJ1Iet'tS Address~f1~ C,Ut!U6f Sa'. City .<.'prt) Phone 74-7-0rr-1/ Supervisor License Number f--r,D Ge, .s Expiration Date ID-I-C("2- Constr Contr. Number o/fl'3f1 Expiration Date COIl1'LETE FEE SCHEDULE BELOIl A. ,Nev ~esidential-Single or Hulti-Family per dwelling unit. Service Included: B, ;;/J Items 1000 sq. ft. or less Each additional 500 sq. ft or, portIon thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Reloca tion: 200 amps or less 201 amps to 400 amps 401 amps Cto 600 amps 60l amps to lOOO amps Over 1000 amps/volts Reconnect Orily Cost Sum $ 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 Signature of Supervising Electrician :xtI~ IJ~, _Cl.,;_ V t:J' /J"L?~' _ D. Ovners Nanie A(J13cRT ~^IS; I Address 2'350 (}Jfkt/44. -rQ. City k(/{.,EJ/E Phon~...f~~ -~.,y~ 01lNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: ---------~----------- DATE: 'J-q 42-- RECEIPT 11: =:0,J7? RECEIVED BY: ~ {j.;'vvr I 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or'1000 volts 4 0'- S 40.00 0- $ 55.00 $ 80.00 ' see liB" above Branch Circui IS ,Nev, Alteration or Extension Per Panel (lne Chcui t Each Additional Circuit or with Service or' Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each'installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. StJBTOTAL OF ABOVE 5% State Surcharge TOTAL , $ 40,00 $ 40,00 $ 20;00 $ 36.00 40~ '2-. 0... 41jl. 0-.8 3689 I~"" ! j)'O ' ~~W,~~ lev' aOoU\ , . 9,0\ 0\' 225 FIFTH ...r.u.. ~\C1ll\\1<}oeaf\~, . SP!UNGFrELD, OREGON ~.,.,,~, ~~ ' V ' INSPECTION REQUEST: ~~j~69 ,,\i'~ "~"'';)- . OFFICEs 72.6-3759 1-0 1>\ '!p-- ' ' . , , ./-""e 3. COtIPLllTE FEE SCHEDULE BELOll 1. LOCATION OF INSTALl.IO'1~~ <;'\~ :'')0(") E/J&-E /1'JtJN1i.",,'i/~ A. ,New Residential-Single or --- L/-- HuIti-Family per dwelling unit. Service Includedl u;~o~~mO~ ()1Jl aD JOB DESCRIPT}:ON < /1/&/ 4ocJ/J "5/fm/ct?- ~ I'LJ1IN}e-t.- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Z. CONTRACTOR INSTALLATION ONLY Electrical Contractor I-. ,JI. /I1dl'fk B. EkI'J Address 4e3 City S f1 p/J. <;Heu ~V S7:R. , Phone 747-Of"11 Supervisor License Number' bODL..s Expiration Oate IO-/-Cf2- Constr Contr. Number 0/ pj 3 fl Expiration Date I Signature of Supervising Electrician vlV ,p :-'2..._ Owners Name J70,q.E.RT ~~/g r Address.!11.50 LJ/J~ TER. Cityffit.l:?pt! Phone~ -a;.~'2- 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ------ ....... ------------- DATE: :::) --1 -12..-' AL"u.PT 11: ~LI"" RECEIVED BY: ~" Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or, portion thereof $ 15.00 Each Manuf'd Home or Modular ~elling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 ..k2Q 401 amps Cto 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Orily $ 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'lOOO volts $ 40.00 $ 55.00 $ 80,00 . see liB" above D. Branch Circuits .Nev, Alteration or Extension Per Panel One Cheui t Each Additional Circuit or with Service or' Feeder Permit 2lJ $ 35.00 $ 2.00 4c)oO E. Miscellaneous (Service/feeder not included) -Each'installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm , $ 40.00 $ 40.00 $ 20;00 $ 36.00 5. /tJo 5' / LJC; Q.Q. SlIBTOTAL OF ABOVE 5t State Surcharge TOTAL oc;... ~ ---