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HomeMy WebLinkAboutPermit Electrical 1992-9-25 ,.., ;:Io.-r"I"lI',-",I'I~LU ti~ 225 FIITH STREET ::;~ /0110v;;"9 r . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ep~;~f~ ."d d~c~/~; as sU!>rnltlBa INSPECTION REQUEST: 726-3769 "', reC;Uir~ Speoif~af fCityo,>lP.J! Number "7'2/2:/7 OFFICE: 726-3759 Zoning ~ and JJse Dale 0 ,rlc.."ir, 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~ -- <1"'2-.. L,iL!:' u. -- tiUC"WrJz d' . d iI' I ~!' !'pC> UVr.,72)A/' ,e Signa,,,., A. New Resl ent a -SIng e or , Multi-Family per dwelling unit. Ser e-lQ~uded: LEGAL DESCRIPTION 17-.?~ -:2 :2-'20 tC1>ot!:> 9.:::0"2... , ~OB DESCRIPTION 0,., / LS77? F,.~ 7?2..- __ ~ " 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 INSTALLATJON ONLY B. " C9..~~~ EI.eetrieal Contractor ~.# /A"'Go"~c::.. "- Address .. , Citv Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Si 4~.N'~~':~ gnature 0 ,~:~~7- 'Z> r D. Owners Name '~r:p-# T.J r-A":P -?' +..t =&:- /Q'Yc.. . Address -., .Y,e:l- 3~:7';>rl//~~. City ~~~ Phone 7y''''8W~ OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: RECEIPT I: . RECEIVED BY: 9-Z5'-9?- " 6~..:::o7 ............/~III".;- // ". Items Cost Sum 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 $ 15.00 $ 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 $ 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 tr'O --- $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t 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 'Ie!? ~&> 5% State Surcharge ~ . 51!? TOTAL ~.~~