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HomeMy WebLinkAboutPermit Electrical 1993-4-2 225 FIFTH STREET l.:\..; ''?'''' .. '. SPRINGFIELD, OREGON 97477', ~'<t.e> ' , INSPECTION REQUEST: 726:r37,~9" 'Z'5;.,:e. .. ;~.~ "~,~ ty Job Number OFFICE: 726-3759 '<>'.s:;,,,...~.,J ~ ,1'/0"00.'>1.',0) '/Jrt.J,;::" 3. COMPLETE PEE SCDEDULE BELOV 1. LOCATION OF I~~TkLLATION ~ ' ~ 9,03 ..(:J..llCU'.A.V'V ~. New Residential-Single or ~ulti-Family per dvelling unit. Ser,vice Included: ' " ., LEGAL DESCRIPTION I SI 0::> Od 'd':.l 04St10 JOB DESCRIPTION jL-..f- (j}.r> 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 /St/Is 'Pk?t"'.-J-riC Address 3/?() to /I-U-O City %ud ~ Phone31./3/.35--3. , / Supervisor License Number ~tp~~ Expiration Date /0 -/- 95 Constr Contr. Number ,;)./35/ Expiration Date 4 -1- 9'3 ~~~rvi ing Electrician '\1) '-- Ovners Nanie ~ ~ Address~ID 1/-', r..e...-,....::tJ/YVYV1~.f. City ~,;,,,,t:. r. 4Phone iL.fJ ,9.7()<.{- oJ OVNER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~;~--------31~~r~~------------------- RECEIPT II: IJ~q RECEIVED BY: L")A CI ~(') I c:;?s, , Items Cost Sum ,1000 sq. f to or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling 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. ~mnorarv Service~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 "B" above volts D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 5% State Surcharge TOTAL Wo"O ;:;),("J('j 4;:) ()O