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HomeMy WebLinkAboutPermit Electrical 1993-8-24 # SP 74 225 FIFTH STREET 'Tho, 10110".;oc ,rolort c" . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 974 77 ~~~;~~~i'r~ ,. 00..:, r~':~~~";,~;:rf her, I,,? 1~lIowln9 INSPECTION REQUEST: 726-3769 "'cn}! Job Number CJ~1'.C17Y OFFICE: 726-3759 ?'n'" r IfI(J / I ~~ :'2_~'3':-COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ,:::.2:.~,~ I 4459 Glacier Street lIuLlor,:cd S;no"'''..r~UM\. .-New Residen t ial-Single or ~lt;-Family per dwelling unit. LEGAL DESCRIFTION Service Included: 18 02 05 2 1 TL 4100 , , JOB DESCRIPTION Si~gle Family Residence ~::lSO-q Permits are non-transferable ana 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 MAJc..,<.. /Hh,^"""" ~h.i- Address ~~3 ~, "'8' i"'- {JL Ci ty 5ft:> Or' Phone 7t.jo..( -( I (..S '17'j7Y Supervisor License Number 35715 Expiration Date ID-f -1 S- Constr Contr. Number g "/4'2.3 .. Expiration Date .7.-5-QLj. , Signature Of;e:UP vising Electrician &1 C//',. ...- D. Owners Name Capstone Homes, Inc, of Oregon , Address P,O. Box 22636 Ci ty Eugene, OR 97402 Phone 689-5567 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~=--~-~Ar.;~rq~~-~~------I-- l' RECEIr. If: , _.f " CY 1'r"W... <...)-=:r-f( , RECEIVED BY: ( /~J..j iX: ) = -i~ -..c:-y . , Items Cost Sum 1000 sq.ft. or less $ 85,00 <;<5,00 Each additional 500 sq. it or portion :2., thereof $ 15.00 LIS .06 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 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 ta 600 amps Over 600 amps or 1000 volts $ 40.00 4tJ $ 55.00 $ 80.00 see liB" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional 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 Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL _ ~"">0 .O?J ~ ~I c?'>.