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HomeMy WebLinkAboutPermit Electrical 1992-1-13 , ~.p ":? tt.~o 225 FIFTH STREET <i'~'.# SPRINGFIELD, OREGON 97477 Q~' INSPECTION REQUEST: 726-3769 (l~fi.(-i OFFICE: 726-3759 ~J~;tjY' ~ 1. LOCATION OF INSTAL~'lt~.N:{ Q$ --z. / b D L",..", k-J1- 1w' ~r - ,.,$" . \,/ ~<i>~' LEGAL DESCRIPTION. ":',, /<J,i'3 1/ D ~ z.. 7 (0 ~ () 4 u dD ",0' Y" JOB DESCRIPTION l~ j:7vp-' p Ol OU/-<- UP Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~a,."u"''''''.I~''''U YZ-DZ)"Z-j OMPLETE FEE SCHEDULE BELOI/ New 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 $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Electrical Contractor (.irE ~c.. Relocation: Address f-o, {boy (Jf 37 Ci ty ~ U(..,&~. Phone Cfr;S -;;c.G:.') Supervisor License Number S S'S? 5 Expiration Date 10 - qz- Constr Contr. Number 5q7qE Expiration Date .5 -'2. -'7 z... Signature of Supervising Electrician T 1014.--- t/ Owners Name (20(;,ex- Cvl-f/~ Address Z-l -So l../l)V rut:- 5-T, Ci ty <t..~ /.> !J, Phone - , 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:,_ _ 1-/~_-7 ~ RECEIr! If:, ""1','1 ~ Q. RECEIVED BY: .~~ . 200 amps or less' $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 ~r 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel v $ 35.00 -35:w One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Servjce/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5: SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 37 . "D /,71 ?,j'" - 7 b