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HomeMy WebLinkAboutPermit Electrical 1993-4-2 225 FIFTH STREET SPRINGFIELD, OREGON 91411 <-.::: LMY INSPECTION lillQUEST: 126.-3169 ~'2-13 OFFICE: 726-3759 Auth' . orlZ~d Slgna!l.m()~Jf1L 3. 1. LOCATION OF INSTALLATION - - "--.~- ~~II05; A. LEGAL DESCRIPTION I CfL{D II O~d-IOO 00<=703 JOB DESCRIPTION 0Y\Ll .. ~~~,-t-~ ) i)\~&.J 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 8. Electrical Contractor c'~8 PQo.cl"rUJ\ \T&~' Address p, 0 ~-C""- J 4 g~ 1- Ci ty ~ r\..t r'l\ot'~ C ~ 1. Phone 14 J -1- ~ 3(0 Supervisor Llcen.se Number llo g b S Expiration Date 10 - 1- q 5 o .1 g 4-q q-I-Q.1 .r Constr Contr. Number Expiration Date Signature of Supervising Electrician /}~ c7/~ ~ . . , o. D. Owners Name ~ ~ \ 0 fJ1hrmll rnlC\l\u.rrvu\ ) C&r\f. Address-,,1..545 (l hU(\~1 ~ ~T) . fog7-IOSl Ci ty _ P ~ JY\Q j Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE~----\'3-~7ro-~q~----- ~--- RECEIPTl: t J . _ 7<6I) RECEIVED B~f.LX J _" ~.:: -_.....~..."--,.;..... 'NGFIELD , :~~13;JI'__::J City Job Number COHPLETE FEE SCHEDULE BELOV - --:-.-------..., New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 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. 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 - $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel - One Circuit / $ 35.00 3J Each Additional Circuit or with Service or Feeder Permit I $ 2.00 ?- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res S 20.00 Limited Energy/Comm $ 36.00 5. '2 ? ::::- SUBTOTAL OF ABOVE / 5% State Surcharge ~ TOTAL ,BR.8S' . ":--..t-...,_~~,_.._ _,.., _~ ~_