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HomeMy WebLinkAboutPermit Electrical 1992-6-30 ~,J~ ~. ELECTRICAL PERMIT APPLICATION 97477 The fOl/owln' . 17 f\ (, C..{, f'\ 726-3Z,~g.and~~~J.cta.aubmittadh City Job Number Ifj JuJd-., pproval. no! requira specffJc,%~he fOllOWIng Zonin 3 COMP\'1ffle FEE SCHEDULE BELOII If OR'd.I~ ,0t\tNSTALLAT {l 225 frITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 11C3~~~~~ON ()C2 - , , \ ~dOB p'E~CRIro:ION ~Q 1\ Er ~ll.lJ~ I~O k 0 _ ,l~( X ) 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. (11 ) Electrical contra~ Address q~(j L!I.), City S ~ 110 Pho~ WY;~--676() Supervisor Llcense Number ffi ()()S to . t .q Q Constr Contr. Number l){ oCoA4- In: I().q~ , Expiration Date Expiration Date - Sign~ of su~ ising Electrician, (/-Vc If'~ : ~ \ Jii.rn.QjJ ) AddressJ () 0'" iQ i l ~rh.J Q..I), Ci ty ,~Ld Ph:ne:Jil1o .~ 137 :..:\ " OIlNER INSTALLATION Owners The installation is being made on property I own which is not 'intended for sale, lease or rent.' I.', Ovners Signature: . - DATE: r()-~~-~{")-~~----------- RECEIPT.: ,-')" ~,",,> l:L- RECEIVED BY:.J::7\I) YA / ew Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less { $ 85.00 ~5 Each additional 500 sq. ft or portion ~ .J5 thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: $ 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 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits " volts $ 40.00 $ 55.00 $ 80.00 see fiB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm . One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 no t included) I $ S $ $ Iq(p .CO y~ &.0';) ,h:2 40,00 40.00 20.00 36,00 \ ,{0:>