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HomeMy WebLinkAboutPermit Electrical 1994-1-26 . . SPRINGFIELD 225 .~J.I'... STREET SPRINGFIELD, OREGON 97471 , . INSPECTION REQUEST: 726-3769 .tonHl!, ~c.. OFFICE: . 726-3759 I; '; -'.!)I,li':L 1. LOCATWN QX.I!NSTAP.ATION\. AU\hcflrod Sillnaluro ~ ,J::)'I;..J. <i n 5\ l(1.L) A.- LEGAL DESCRIPTION ~ fX2?):d.fJ n O~f.rl)~ , rdOB ~~~Jli!k City Job Nlimber COMPLETE FEE SCHEDULE BELOII New Keslo"uc; ,1-Single or Multi~Family per dwelling unit. Service Included: 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 Electrical Contractor Alert Electric, Inc. Address 1970 N. 28th St. City Sprinafield Phone 747-2211 Supervisor Licen~e Number I ?,,~ c Expiration Date 10-1-94 Constr Contr. Number 20-55C piration Date 10-1-94 . The installation is being made on property .1 own which is not intended for sale, lease or rent. Owners Signature: DAT;~----------~~--7~1'~~~------- RECEIPT II: 'y--,jJ, - - . I HI Ef . RECEIVED BYU HL)( ~ ) . Items Cost Sum 1000 sQ.ft. or less $ 85.00' Each additional 500 sq. ft or portion thereof $ 15.00 .Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Ins talla don " Al tera t ions 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 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 . ignature of' Supervising Electrician if a:t.b~ - -- .. Owners Name ('S' ~. e*\D\a...'i\ ~ D. Branch Circuits Address'llM~\ .0'\LQ.Lt- ~e..~New, Alteration or ~ r I\-... ()) r\ ~VJ(q One Circui t Ci t~ V,\\."t \() fh) Phone 'Ill:)} -(LIL': Each Additional . \ Circuit or with Service O\INER INSTALLATiON or Feeder Permit ~ volts $ 40.00 $ 55.00 $ 80.00 see "B" above Extension Per Panel I $ 35.00 -35.00 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 . $ 2.00 clOO not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 3700 ----.I . 'r"F--. .~.~