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HomeMy WebLinkAboutPermit Electrical 1992-10-5 1""...... ~ he /ollowing , laning, and i,;o.'oct as submitted h 225 FIFTH STREET epprO\'al, O"S not requiro s ifi.;'ia~~ ~~~Owlng SPRINGFIELD, OREGON 97~7.; n INSPECTION REOUES'Y 726-!1{ c::::: OFFICE: 726-3759 .,e---':\-bL.:..._..J'q-z...; 1. ~;~OP~b~ :: \~~~5S~~N C-x)~LD JOB DESCRIPTION A '+-:: " f) 0 21\1 Y. 0 ,c:'~-- '-\- (\ I \\ ~ i Ll.JU) 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. 'CONTRACTOR INSTALLATION ONLY Electrical Contract~~ Address !fJ{A \\\("x))\.c:f..... - Ci ty D.n~ Phone ~5'" oq'L2- ~~f)nS \(). \ . C\S Supervisor ~icense Number Expiration Date Constr Contr. Number ~...q\f) Expiration Date \~. \D.q~ The 'ins talla t ion is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----------------ni~----~-------------- DATE: V .S.q:j ,..., RECEIPT II: \)1 . "'I n .,...PI S RECEIVED ny<, I) V ) C\ ) ..' City Job Number COMPLETE FEE SCHEDULE BELOV Residential-Single or Multi-Family per dwelling Service Included: Items 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 C. q!) \~Q~ .....\ - - unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 5.D $ 60.00 $100.00 $130,00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 Signa~~~upe~~trician (J ~ ~ ~~BranCh Circuits ::::::4 \ \ Q:=( ~ '- \n (\~ecA~ :::. c:::::: Ii" ,< '<10" '00 :::. ::'" City :\!\ri__Phone "14H(}A446 Each Additional . . Circuit or with Service OVNER NSTALLATION or Feeder Permit ~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $55.00 $ 80.00 volts see "B" above $ 2.00 B no t i neluded) $ 40.00 $ 40.00 $ 20,00 $ 36.00 5B.~O -4.'-'\l.L (nT).C\~