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HomeMy WebLinkAboutPermit Electrical 1996-10-15 .-:'. ~...,~ 225 FIITH STREET Zo.,;rl' C (1 - u. _ SPRINGFIELD, OREGON 97417 10 - /'-i INSPECTION REQUEST: Alt28~3769 - ~ OFFICE: 726-3759 " "",a "'gnatU;8_ 1. N' '(M 3. LOCATtON OF I~STALLATION <:::.,..,-:4 A ('..0 2?> _ /'fIO../vr'..A.. 5-1 _ ~f'-.-A. LEGl\J,.,..p~QUPTION ~- - 170:56':;:32 (1.&)UULJ _ ..,J( OB DES~PTION n _I ,/7" _ ~ 11 " ~^M C.n-.oU7M ILk'.V\lVl(! - . ) I 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 Contractor ~_ ~Oo~ Address~IoL.fW-p /;)eQfI{LO.-,,^ QJ _ City 'Sp11 Phone 7'1. i c!1.::::: 1 Supervisor License Number .:;Ji!! 37/(1,S Expiration Date /0/1 } q R .. ILl it Cons t r Con tr. Number 7t:2 -3 0 '1 /V/t/q, I -' rvising Electrician Expiration Date ~r;J; of A-.. ~~cL WlJ.CII <;p:bl Phon~. . v\U i((\/" Owners Name Address nG, City OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE~==--~I()=72?:CfC:;---------------- RECEIPT I: 1-;;,>/(4) RECEIVED BY: ib .' SPRINGFIELD Ci ty Job Number ~U"fLeI~ FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling 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 $0.00 $ 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 $ 40.00 $ 55.00 $ 80.00 see nB" above volts D. Branch Circuits New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit /~ $ 35.00 3's.oo $ 2.00 20. OD E. Miscellaneous (Service/feeder-not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36,00 5. /05.0-0 ') ,:I.. t:') "). IS SUBTOTAL OF ABOVE 5% State Surcharge _ T~5'7v vr /kIut,'J-L Ji-k/ Jl~. <.{o