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HomeMy WebLinkAboutPermit Electrical 1992-8-13 The lollol"'ng . ' ..... zoni P10i..~ctss~~,. ~ a' ng. n.n,i d'ODS net ro ,r .ed hes the ~, ;;prol'al.on; /fe I!m,~,~ ''ilfmHIT APPl.ICATION DeleB. ( City Job Number qA()f\ \ \ - Authorized Slgnal~ . ~9 LOf\~~<r\ I~fg\~ \~ A. ~WlLfil~CJQ:RON' CJ (f'4. Jd( )0"-{\ (){::[Y''''('j :~ D~Uf0\Trt~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor But /J.~q <;: Address dZ?3 n\o,u/UlE: City E4-o;~e.- Phone 7''85- 09.J.;:l.... ,. Supervisor l.icense Number :1..'1? tJ 5 Expiration Date /C- / - 7'.2- Constr Contr. Number () Sf 2... 9 t:. Expiration Date / 2.. ~ /C) - J?.:L. Signature of Supervising Electrician t!o/~ Qg;~ Owners Name_ ~'\\\l Q-k ~ f\U Address ~~4f\ ~ \.'! ~\(1 I Ci ty SQf\r\...-Phone OVNER'~~l.LATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: =;;-;~~(5:~q. !{-:~;~----- RECEIVED BY: '.lb.....> - . , . ~'~'I'N~r;I~LU l.ETE FEE SCHEDUl.E BELOV New Residential-SIngle or Multi-Family per dwelling Service Included:' uni t.' Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circui t \ $ 35.00 Each Add it ional Circuit or with Service or Feeder Permit ~ $ 2.00 35 L\- E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~q~Q ..:1.'1'"'1 "t' / .'"1~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL