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HomeMy WebLinkAboutPermit Electrical 1992-3-26 ::>>1.1 11"""""1' Il;.LU . ~~. f ti'f 7.(1... Qllo1'(in . ; 225 FIITH STREET .pp"nf;'4^~r:p,.n', ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 r",.~1. " <lc.:/~;:~"I'6 INSPECTION REQUEST: 726-3769 S'" '!fi!~:~"<;i,<y Job N~be< 920 M,,--;7 OFFICE'. 726 3759 !.,~' "r,,_ ,Io:c:f.'o:""""'" - ~r0 .. ..~. .af1d :~~CI,,:ln.... fl,., ~'. . '_ OMPLETE PEE SCHEDULE BELOII 1. LOCAT!jN OF INSTALLATION"":r ('J,.~'r:lr, .'..... __ ~3 ~MII Tn!. )"':l!'~,..LW Ne\l Residential-Single or --.. ~l ti-Family per d\lelling uni t. LEGAL DESCRIPTION Servi~e Included: 1'7D3 34 /2. CJC:.461~ -----_ Items Cost Sum JOB DESCRIPTION A'i';"/.A&J7i'/tt ..4-lJlJlnlJi/) . Permits are non-transferable and expire if \lork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Ovners Nanie_MMK <:::r.HI'Jl::N c-.~ Address (,;34- J!A,.,.,IL TC/J I City 'SP~. Phone 7+/-22$1 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. x o~e,:f:kA~ ( -- ----.f--------------------'--4-------,----- DATE: ."'"'-~v~'Z"- . '. RECEIP'f"#( ,. li 7 ~y . RECEIVED BY: (1" " 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder B. 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 $ 85.00 o $ 15.00 $40.00 $ 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel One Circuit L---- $ 35.00 3~~ Each Additional Circuit or vith Service or Feeder Permi t ~ $ 2.00' fC7D not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ /f16D . ) ,"I J -ft7.'TO 40.00 40.00 20.00 36.00