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HomeMy WebLinkAboutPermit Electrical 1992-11-9 e."....". . ~Ji . . " ~'n ~ 225 FIFTH STREET ' ". "';:',i;Dj"I~.~t:~~~'~ as sUbmit! ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 " O"oqUiresp':;/~hesthefoll (ff\ V\ (\~ ~NSPECTION REQUEST: 726-3769 ZOOi09~' c'H:Y';ta~lV~lImber -V.-j.. \1' 10 OFFICE: 726-3759 Oato ,/- cf- 0-':' ' , . AU'.h -, ~3. COM E FEE SCDEDULE BELOI/ 1. LOC~ION, QF INS1'A~LATl.Q.N ;:''':~d SigoatUre <:::r \ () \ '.-4.... Q\(\ \\ ~~) ~)I..J 1I~~ Residen t ial-Single or Mulllr.:Fam4~r dwelling unit. Service Included: Items Cos t 2. CONTRACTOR INSTALLATION ONLY Electrical contract~r~ I. -1 \c\of_~ , Address jJq:=\ \'\\\l\ \\ rK-/ ' 200 amps or City Y.tCJe\(J AQ llhone4gs -01~~i ::~: ~~ ^ n,qn l\~ 601 amps to 1000 amps Supervisor Li~nse Number ~ I~ Over 1000 amps/volts \,r\ , \ .n S Reconnec t Only Expiration Date \ )~\ Constr, Contr. Number 'oLJili.{o \'d.\n.Cf;l LEGAL .RE~ION l'()"::<"d-'nlUCj - .-.-- ()A.?[)~ ..\ JOB DESCRIPTION .JL <..\' ("\ J.. 1\ (" j I IA'~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Signature of Supervising Electrician ,(l}tI.A:~/lg,~ ' Owners Name ~ ffi t\O r::z r dA . D. Address J}!4Y, S (\1)~1 ,_ ~ ('~ Pc$ . Ci ty 9 tT.LNL.Phone ~6r\P-(f445 . OI/NER INS~LLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~A~;~~------------7f)~)Q~~LJ[T)-~----- RECEIPT 11: '\ n" "lo..o\lf' RECEIVED nY:~../YlL..J . Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: less 400 amps 600 amps $ 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 /.01 Over 600 $ 40.00 $ 55.00 $ 80.00 see liD" above or less to 400 amps to 600 amps amps or 1000 volts Branch Ci rcuits New, Alteration or Extension Per Panel I ~ $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permi t , ~ 2.00 (p $ 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 4\ .00 5% State Surcharge c-{) .()'-\ TOTAL 4-1., ,/)S