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HomeMy WebLinkAboutPermit Electrical 1993-12-20 . SPRINC.O . ThO following project as submitted hes the' . - 225 .FIFTH STREET . ~;,,~,:,g, and does not require specfflc land u~~cwrillECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 91'47'fval. ...r1 INSPECfION REQUEST: 126-3169100 t, J) 0'- City Job Number q 5 [) 0, L.J Lf OF~CE:126-3759 Dale Id '--~, _(), ....s 3. COMPLETE FEE SCHEDULE BELOII 1: LOCATION OF IN.STAlllIlAlIl-lilllfSlgnature ~ ~ Jd.S"::l ~.A o LEGAL DESCRIFTION i (10':) Od"";)<-I no Inn JOB ~E~~:~~r.P ~ "",rLJ . =>""'-41: ~ Permits are non-transferable and eKpire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2.. CONTRACfOR INSTALLATION ONLY Electrical ContractorJYJrJ~(~ ~~~'r , Address 3 S.3, 5' G.tf /l.. City 51' Phone 7'-i -I -II.. S- Supervisor License Number 3 <;;"77.s EKpiration Date to.., y Constr Contr. Number ~9 '-( 2. 3. EKpiration Date <.-~-4't Signature of Su~~ising Electrician cz;,j ;}1"~h .. ---to ,J I 1 D. . Owners Name~~~"lu /).r.~) Address' . ~a.Ql.Addwnd- City Phone mINER INSTALLATION The installation is being made on property I own which is not intended for s~le, lease or rent. Owners Signature: DATE:-----~--1;l1~~I~;;~------------~--- RECEIPT I: . Illlc;;. RECEIvED BY: ~.lJ.. .... ,."" P.-e-!t!dential-Single or Hulti-Family per dwelling Service Included: un i to It ems Cost Sum 1000 sq.ft, or less ~ $ 85.00 9'5.00 Each additional 500 sq. ft or portion thereof S $ 15.00 15.00 Each Hanuf'd 1I0me or Modular Dwelling Service or Feeder $ 40.00 B. 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 ampslvolts $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 $ 40.00 $ 55,00 $ 80.00 volts see "B" above Branch Ci rcuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35,00 $ 2,00 E. Miscellaneous (Service/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 1100.00 5% State Surcharge 'i(.U () TOTAL -1./,., Q ()O