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HomeMy WebLinkAboutPermit Electrical 1992-7-15 S'-IIINCr-IELO ll'"PI:<>W"'~P'o1~e1119.ubmllledha!ltheI6il6wi1lO til ?zo'1("'t -wJ~ i' "'fig, and OOllll nol roqulr. spocl11c land use ,- 225 FIITH STREET ",,''';9v~I, ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974i7 'Ing (;n{2- f.1., nq 1 V1 INSPECTION REQUEST: 726-376 on - Ci ty Job Number vI vv LR I OFFICE: 726-3759 iSllliL / ~ AIit~ S1gl\lllure ('l/W ~^ 1. LOCATION OF INSTALLA'TION Q/D I ,\C:"l,IW(O\) ~ A. LEGAL DESCRIPTION lio?J-z..TZL/ o2-~ JOB DESCRIPTION , t!.,\4-'I (J1ANk. r ~C.J\ 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 B. Electrical Conp:actor C~l~jJ..~.h- Address t?, o,,''L.C, q City u~fl/.e Phone 7'{'f-o"'Jo~ 'Supervisor License Number 3&;;'-S Expiration Date In/to fer 3 1 I Constr Contr., Number :/..0-7 _9'ff!., Expiration Date Ib /1 l) /'1 j I I Signature of Supervising Electrician ~--/~-l"w , Owners Name l^f~...J Address <8JlJ ,/ rlr_t.A-VeN Ci ty srcf:." 15t1 Phone 7<17 -39 Jl OYNER INSTALLATION The 'installati~n is being made on property I own 'which is not intended for sale, lease or rent. Owners Signature: ~~;~~-f7~I~-:q-~-----~~------------- RECEIPT' #: .?f5Y 01 RECEIVED BY:_I.l~n COMPLETE ~E SCHEDULE BELOV New Residential-Single or * Multi-Family per dwelling unit , Service Included: Items ~ost, Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 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 D. Branch Circuits $ 40.00' $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circui t I Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 !!hen $ 2.00 Miscellaneous (Service/feeder -Each 'installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited E~ergY/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 217.00 i-7r, ?Jt~ .'T0