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HomeMy WebLinkAboutPermit Electrical 1995-1-31 . . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQuEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION q~C\ k'l2..uS'i Wfr.., A. . ~~~L DESCRIPTION 170J 02;)..;)...000 fiL- -$fuJ(5~ Pt<9.:tau.A~ i 6i1.w\~<;:. Jon [)ESCRIPTION I L /J1 fA) 11~ IJ"L.r.t.I'.'i..- A-.JJ1/VtdQ..o fM.'f ::frJSlI'lU , Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if.vork is suspended for 180 days. 2..- CONTRACTOR INSTALLATION ONLY n. Electrical Contractor "P12o Sau,j ~ \A>/!~ Gt.P Add ress 1026 G ~tErJ ACf..<iS f.J #- IS City ~U~'i.. Phone AijlS-S:l.-S'L- Supervisor License Number 1.5 'iI, ~ET 10 I, leu:> Constr Contr, Number Q77d.2. 3/::14/(17 ExpiL-ation Date Expiration Date Signature of supe;~A;ing Electrician ~t-.f:)-J!J& J ... ~. Ovners Name ~ 10 AN Di2.7.A.l1 s :2 9, (..,i) Sr-r<f,J vUilt1 ~~"i- Phone bZ?'- 563~ OVNER I~TALLATION Address City The installation is being made on property I ovn vhich is not intended for sale, lease or rent, . Ovners Signature: ~~~~~I';=~-l==-~~~---------------~- RECEnT !I U/ &7 /O"C:> / _ _ ~ RECEIVED BY~ ~ ~E ELECTRICAL PERMIT APPLICATION City Job Number 94/3'1...J 3. COMPLETE FEE SCHEDULE BELOY I terns Cos t Sum Nev Residential-Single or Multi-Family per dvelling Service Included: 1000 sq,ft. or less $ 85,00 Each additional 500 sq, ft or portion thereof $ 15,00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40,00 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 $ 60.0D $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 Nev, Alteration or Extension Per Panel $ 35.00 One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 40,00. $ 55,00 o' $ 80.00 see 'IBII above $ 2,00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40,00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20,00 Limi ted Energy/Comm $ 36,00 ~ 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .3<;~ ,. ESe /.0<1. ~~ 88 ~