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HomeMy WebLinkAboutPermit Electrical 1992-6-11 - ;-........ SI"'IINGFIELU . ~~ . '/fimg pro;ect as ~ 'b .. . ~.. 225 FIFTH STREET " and do",,' not req~rOm^~:dra~ Ih1 ("!,ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ,"V2!, ~ "~e"c on usa INSPECTION REQUEST: 726-3~901'rg. ~\\\ \ \ Ci ty Job Number Q2.?>S'22-. OFFICE: 726-3759 ~.', \. - '--- r:J. ,\3. COMPLETE FEE SCHEDULE BELOV "* 1. LOCATION OF INSTALllAT-ION--':2n, iUfC V\N ---Z.i<:::n L~v...... ~ -#' I f - A:-New-Residen t ial-Single or Multi-Family per dwelling unit. :, LEGAL DESCRIPTION Service Included: /~-=?~~. ~ ~~~ / JOB DESQRJPTION r p,,\~ (,tMJU /.k.l'f-'il..........., c.lh~' , . 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 Contractor C~rLt1i {!(~~,\.. Address p, (J ,io~ 2.' If Ci ty 1'or<..! J Phone '7 tfc{ -O'?o S- Supervisor License Number '"S~&, - ~ Expiration Date '!!}({J-(e;?, I C. Constr Contr. Number f) ~'ll( ~ Expiration Date <:'""f{ )(c;?, Signature of Supervising Electrician ;JL.~ . , . \., D. Owners Name iY1 ~~ ,~~ . Address ~"O L~~4. ~ / I - City <\r-"(C(c!. Phone 7'fG-,glQ OI/NER INSTALLATION ,. The 'installation is being made on property I own which is not intended for sale, lease or rent. O\lners Signature: DATE: c::.-//~'7~ RECEIPT #: ~3o RECEIVED BY: // ~ 'T - Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each l1anufrd Home 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 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 Branch Ci rcuits New, Alteration or Extension Per Panel One Circui t ( $ 35.00 ~-S- Each Additional ; Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. ? )"', -=--= SUBTOTAL OF ABOVE ~ 5% State Surcharge /. 2~ TOTAL ~~ 7/}:; -