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HomeMy WebLinkAboutPermit Electrical 1993-5-5 ... . ',...... lhe !OllOWlll ~ .. '"' .,...., .... ,..',r." ","" d ,,0 ..~ .(" r'" '. " ....'CIl;..ll U...... ~ .' 1_' 1;\..1\ f~~:1..l\.3 ..,.....".'1 ,~. ~, ,.,.. 225 FIITH STREET c, ..0'": ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 ZO>1inn l...I7Ie, q r, II) '77/ /\ INSPECTION REQUEST: 726-_37c6,~,_51)1_~_"} . City Job Number_ d n\ ~ OFFICE: 726-3759 ~ Autnorized Signaturo-3~':"GOHPtETE-FEtrSCUEDULE BELOV 1. LllC~~ PFI ~2'f{l.LLATION c:..r-:~\ NlV[Yufl.) I lM~~ONCFt~ SJOB Di~P'rION I Q r-::. rY ,. ~~() t\ ) c9 \.CA';-uU Permits are non-transferable and expire if york is not started within 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contracto~l~\ruJ[S Address cSlCf5 n1anlL,~ City ~hone 4 ~s- 0122- (j Supervisor License Number 6! Q1c:)S (0, /,qs Constr Contr. Number04-ZCf(p .1~'I().q~ Expiration Date Expiration Date Sign(pMP~ridan Ovners ~anie ~(J ) r n 1ittlliV Address I~F) I '--~ ':3Jl oJ . Ci ty ~ 'Phone 14l-1t1 04- \ I) . . OVNER INSTALLATION The 'installation is being made on property I ovn which is not intended for sale, lease or rent. 'Owners Signature: -~-,---------------------~~~---~---~-- DATE:. (' f) /5 \ ') .q") . RECEIPT I: ~j/ _ ~'/n RECEIVED BY:\. AU J(,,' ) , , ~J A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Cost Sum 1000 sq.ft. or less --L $ 85.00 8Q Each additional 500 sq. ft or portion 4 LcD thereof $ 15.00 Each Manuf'd Horne or Modular Dwelling Service or Feeder $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see tlBIt above Nev, 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 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \4~.~ .J;:lQ ).,[5