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HomeMy WebLinkAboutPermit Electrical 1992-9-1 ,; ~.., 225 FIFTH STREET The fOl/ow;ng p . ELECTRICAL PERIIIT APPLICATION SPRINGFIELD, OREGON 97477 ,Zoning.anddo;o!ecta..ubmittedh nf\\ "\1 INSPEcrION REQUEST: 726-3769 approve/. .notreqUlrespecir:i:j~<t''tiumber ~I 01 rJ... OFFICE: 726-3759 Zoning! n P' ) , Del"_ q.I.~MP.LETE FEE SCHEDULE BELOV I 1. LOCATION OF INSTALLATION. . - ~ 20 J:;IJle VJ~'iZ~lifJr~A~'W Residential-Single or , ~~~.ltl-F.ami1Y. per d'Welling uni t. LEG~E~PJfqN-, nOI /"y\ Service Included: \1 0 ~ f-t~ Cnc JI ) Items Cost Sum JOB DESCRIPTION' . / 1000 sq. ft. or less $ 85.00 A/Ev ~~~I/;(.~. eleer i/ElJr Each additional 500 , sq. ft or portion Permits are non-transferable andrexpire thereof $ 15.00 if 'Work is not started 'Within 1BO days Each Manuf'd Home or of issuance or if 'Work is suspended for Modular D'Welling 180 days. Service or Feeder $ 40.00 2. . CONTRAcrOR. INSTALLATION ONLY. Electrical_~OEtr.~~tor !-./-I- Mdt'/tS Address 483 Ci ty 9"rLJ . Sllell~'1' ~7l'- Phone 74--7-ogll Supervisor License Number ?:Ji:>O(P S Expiration Date 10-1 -9:L 'Constr Contr. Number r)\h~?J Expiration Date lo.R.q~ ,. Signature of Supervising Electrician g~ ,Q~~lZP__ O'Wners Namd,(}11)v'RJ11JL. S~ Address ,t:) <?SD1 n (..; /(fflfJJ1; Ci ty \/(] J\rn\ )UJlIf-.- Phone OVNER INSTALLATION The installation is being made on property I o'Wn 'Which is not intended for sale, lease or rent. 'Owers Signature: ~~~;:---~~~~~-~~------------- RECEIPT It: : 6fp Ar/ RECEIVED BY: ~_ ~ ----I 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 $ 50.00 ~c. $ 60.00 $100.00 $130.00 $300.00 $ 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or 'With Service I o~ or Feeder Permit ~ $ 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. ,L'/ ~ SUBTOTAL OF ABOVE J'" 5% S ta te Surcharge /J. 110 TOTAL ,,- r,. R" 0