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HomeMy WebLinkAboutPermit Electrical 1992-9-16 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 "Zonin~ OFFICE: 726-3759 "',t"_..:'~I.(P_\cO 1. LOCATION OF INSTALLATION'tr.or!zed Signature_~~ f)2~7--fFM517J1:.lA A. LEGAL DESCRIPTION /:fh::)z. 04 2./ fJ 5ee-eJ JOB DESCRIPTION J:;;}./r/-n~J ,~cJ4 .j EN77k( 1)i!i::I<- Permits are non~transferab1e 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 ~~,,-tJ ~~ , Address 34/-10 EL MA-,()!'>>e Ci ty /=viUbf. JE- Phone.:7d...4 - t9tP /9 Supervisor License Number ~/~ ~ . Expiration. Date //9/1 q.2- Constr Contr. Num,ber ~~'71- Expiration Date -S:J2.y7:.~ Signature of Supervising Electrician ~1Pf_A ~ o Owners Name].>"l.to~A IUJ~lWnODj) Address City Phone OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~----------~;;'~;;~S7-Z=---------- RECEIPT #: ,h?-CJ~ RECEIVED BY: ..:1'?~ SI.fIlNGt:ICLU Ci ty Job Number q 2/7~/ ~ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Te~po~ary 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see' "B1I above New, Alteration or Extension Per Panel One Circui t ~. $ 35.00 .35....t9<J Each Additional Circuit or with Service or Feeder Permit I $ 2.00 2-~P E. Miscelhineous '(Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/au tlineLigh ting $ 40.00 Limited Energy/Res $ 20.00 Limited, Energy/Comm $ '36~00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL !fj,!! -, - ~_~'1:: 370-0 /,905'"_ -3~,~S"