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HomeMy WebLinkAboutPermit Electrical 1992-6-30 t,.l~ ~. T ELECTRICAL PERMIT APPLICATION ~~ I Zoning OWing Proj ftpprov~?no do~s:: ::'"GilliJitrJ,p,f. Number q ~()~ . : qUire speoiiba:;, t~.. fOlloW! . Z~Wn COM 'SC~tM.E"BELOV 11 IAfWON OF IN~~LATION( I ,,^ ,Dete o l ).:\--1-f\ , \ '}0\,Q; \JLLU<1U1ho~A. . l) Signat~l i \\n~~mO()\qm Serv \ ,j,JOB rPIiiS~PTION Q (i' An if \oAl U 1 VT (" '0\ tQ J ,-)'\~\ 225 FrITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for '180 days. ' 2. CONTRACTOR INSTALLATION ONLY Electrical cont~a to~~~ ill ' Address~P>,) mb \ 'City fA J{)f f1 0 . P ne (oq,y., -R 7 QO Supervisor ~icense Number c:9.Q(X)S ID./.q{t A( ~I 1\4_ c. Constr Contr. Number ~ ~~ ,___ Expiration Date ~" to./ n .93 Expiration Date Si~~~n~ Electr~cian Ovners Na~~ - ~)d KY"trf\ Addressj(){) I ~ \ 1 0 r f\l ~ 0 [)) City ~fld Phone\~(().=.3J.3l OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: l"O. ~():y~ RECEIPT #: ~ 52-,/'1 RECEIVED DY, ~ r'...I- YL ' esi entlal-Single or amily per dvelling luded: 1000 sq.ft. or less Each additional 500 sq. ft or portion . thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Items I Lo. unit. Cost Sum $ 85.00 ~ Gte) $ 15,00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: D. 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 60 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Nev, Alteration or Extension Per Panel , One Circuit Each Additional Circuit or vith Servic~, or Feeder Permi t ... Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2:00 B- no t included) $ 40,00 $ 40.00 $ 20.00 $ 36,00 ~ CJ ,cd .