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HomeMy WebLinkAboutPermit Electrical 1993-11-5 . eRINGFIELD ef, <O~in OlfoWl1) ClPpr, 9. Qlld 9 Prof, , OL'i11 dOe, eCI Cl ' 225 FIFTH STREET ' ,8 I)O! re:~~6tI7' " ELECTRICAL PERMIT APPLICATION SPRINGFIEW, OREGON 97477 Q.,~ <Orlk/., ? --yI/0,.':>"'".(..,. q~1J,.nO INSPECTION REQUEST: 726-?lfi9 f' ( . ~I, '" '/ ", , City ~~b Number .0 \Li t OFFICE: 726-3759 "!<'tlto~ -.. '-.. "~ed Sig ----. . .....COHPLETE FEE SCHEDULE BELO\l 1. LOCATION OF INSTALLATION f)t",v) ..2-J c-'-?!5 /.//-;J/'j-ij Jf7/ -.Al~New Residential-Single or , - /,N1t>rfl2.( cA7 - ,M~ti-Family per dwelling unit. ,1I7t:> ~~CXJ 0 \ ofD Servi.c~ Included: Items Cost Sum JOB DESCRIPTION 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 . 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 A /3 t...f' E'L~c.. $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: Address .5'" f / / Ci,ty .J #' ;CL tl " /Y7 /.J / tV Phone 7.2.6 670/ 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 '>(. . .;) Expiration Date J tl)..,3 S /0/:7//0/5 " , ..... q .2..:':"5" 0 ~ ? //6'/9 fL ./ ,/ Signature of Supervising Electrician C. Temporary Services or'Feeders Installatio~, Alteration or Relocation Supervisor License Number Expiration Date ConstrContr. Number _,~'~- -- 7 6- -/ , D. Branch Circui ts Owners' Name f ..,6/J/"I'>~'1 () c.oM/Z1J/JY/T/f'S" A~ . New, Alteration or Extension Per Panel Address S"'""1 J 5 /....7/l //V ' , ' One Circuit Each Additional Circuit or with Service or Feeder Permit .",--. 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 vol ts $ 40.00 $ 55.00 $ 80.00 see "B" above ~ Ci 1:y5 t::P"c 0 Phone "7 Jt 7 }f9'/J $ 35.00 OVNER INSTALLATION $ 2.00 The'installation is being made on property I own which is not intended for saie, lease or rent. OWners Signature: E. Miscellaneous (Servioe/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 ' ~t7, CJO A'O () ~ ?...~o () {