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HomeMy WebLinkAboutPermit Electrical 1992-6-15 S"'rlING~II!LD , .,,'~ 225 FIIT~' S~~ ThAfO!I""'lngpro:8das,",b~n'''h**'''.~L PERMIT APPLICATION SPRINGFIELD OREGON 97477 l.cning, end d_ nol reQultUlleolllc tW' , QPp~al 0 INSPECTION REQUEST: 726-376l/ '. n.} City Job Number 92<:::>$:::::6 OFFICE: 726-3759 Zonml' \' . , 0<11<: I" . \Sii (i.,. ~HPLETE FEE SCHEDULE BE LOll 1. LOCATION OF INSTALLATIO~utiIO~~ ~~nature~ \ U '.. .. .. . ,-/qLo ~ Ic-uJ . -.\. - . . ..c~.""..."a.-Slngle or Hulti-Family per dwelling unit. LEGAL DESCRIPTION Service Included: /77:7~'..z...,,:;~_ ~-;;?.f??'>C> Items Cost Sum , JOB DESCRIPTION 75 '. ..' .4u:;?C:::::/Y ~.?-/T ~ ~~ , 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 ContractollREGotl ELECTRIC SEnIJICE Addres~}o t.J irl.. PI . EIA-O~ I City ~"...~... Phone~~.=:,' Iln'i?l - \ Supervisor License Number \ AOI::-.. :" . Expiration Date \0 \ Q& Constr Contr. Number .,?.<;(-oo I Expiration Date \O\Q~ Si~ture of Supervising Electrician 7~'1.MA1.-.. (\) lea." / Owners Nam~f\t- SlMf\ ~~ \00 fu. Addre~s 4C\w \:h~ ~f) U Ci ty <Xr\ C li\' Phone ='\}.' 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: h7S'~< RECEIPT #: _ ."" ) I.~ RECEIVED BY:./" ~J1...""'" '.'~ // 1000 sq.ft. or less Each additional 500 sq. ft or porJipn thereof ! Each Manuf'd Home or Modular Dwelling 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 C. $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 '. 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 New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. , 5. SUBTOTAL OF ABOVE 5% State Surcharge 'TOTAL $ 35.00 ~"-O $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 3;;; l>-<> I~ ~""lS' J