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HomeMy WebLinkAboutPermit Electrical 1992-11-9 225 FIFTH STREET SPRINGFIELD, OREGON 97477 Thotollo' . INSPECTION REQUEST: 726-3]699, ";~'~p'oJoCt City Job Number ~~ /4/~Y OFFICE' 726-3759 PP'O\'~f. GOes nOt ~s SUb~rtt' F. . faq . "'18rlh'1o <to ' "y,sPd:;gJil;l/;BrJt, F~E SCHEDULE BELOII 1. LOCATION OF INSTALLAT'!QN L / ~lng~ P - ,- ~nd "so OWing \q'1~L . --'-.::~~New Residential-Single or , '''''ori''sdS. flulti-Family per dwelling uni to LEGAL DESCRIPTION ,gn~llJro Service Included: /7---r::P}""2~-/:2._ e:J//c:::t:::> Items Cos t Sum r JO!l DESCRIPTION l.'" _ _A01",r:, ... " l o'!(J\L~I/\f(\J' 8! C\1J\.J \~_UlUJ..l..Uffi'\Vl-J dA -:. <UM.uit ~rmits ar non ransferable 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.tJS P~,H1~JI \.~, I I Address P. o. ~n-l. 14-&1..- I CitY~ri\.l',tfnL Phone~~1o Supervisor License Number I b 8 [" S Expiration Date ib -/-q5 Constr Contr. Number 0:\ 9. q.q Expiration Date q-l-q5 Signature of Supervising Electrician ,_a.~c;7~~ Owners Name 3-~ ~ Address /QI'14- ~cL Ci ty j,\C\f\.lf(\1l) w~ri , Phone q1411 ~ an OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: I~?~ ' RECEIPT 11: RECEIVED BY: ~V~-. $ 85,00 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 15.00 $ 40,00 Services or Feeders Installation, Alterations or Relocation: 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 or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D, Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 35'.00 Each Additional Circuit or with Service 4.00 or Feeder Permit ~ $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limi ted Energy /Comm , no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5, SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ,1Q.DO 1._Q0 4o.Q,"l