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HomeMy WebLinkAboutPermit Electrical 1992-6-1 !he fOfloWi . ~l .~O'1in9 8 ng Projoct . ~.. 225 FIITH STREET apP'O"~I, nd does. nOf~a ~,/>rl1iEMUiECTRICAL PERIlIT APPLICATION SPRINGFIELD, OREGON 97477 "',' I 'CPl.lCffi~"i:,~-;~~!'\"l;. 9 _/- ~~~~~~IO~2~~~~T: 726-3769 C.iJ-1€.Jir ..,__~: ty Jo~ Number 2D 7'72- Auu:or;,...;t " "L[HPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION . S:.sna1Ui'e.. ~ 7C:; tht"J t/L~!//;;";7 / ~ A. e"'Res.i.<l~tial-Single or .. . Multi-Family'per' dwelling unit. LEGAL DESCRIPTION Service Included: /7 CJ _?, 2 3 ~ 4t:!70 Items Cos t Sum JOB DESCRIPTION ?;.~ r'./A't,;j.:.r/7 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~~ ~~/ Address J. ~ ...-?/Y?< ?.h d , Ci tyW~~ Phone 7<1-1-tJ 7/A(' Supervi~or License Number ('61&:>0 S Expiration Date ~/.I~1'~ ; ; Constr Contr. Number 7'?sor Expiration Date " . c:;..~ hf Signature 'of . Supervising Elec~'jJian 7-->At-- ~ ,G. -d~ Owners Name_;.;;p~.k" J/Corp.! L) Addr.ess City Phone OVNER INSTALLATION The installation is being ma,de on property I own which is not intended for sale, lease or rent. Owners Signature: , . --------------------------------------- ~//a2- 46;:::'/5' '1.P'~. ~/- ......... DATE: RECEIPT#: RECEIVED,BY: 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: 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. Tell1Porary 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel ?j- One Circui t (._ $ 35.00 J Each Addi tional Circuit or with Service or Feeder Permi t $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation P~mp or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limit~d Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF,ABOVE 5% State Surcharge TOTAL 1\ J 7.F J~;'7.r