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HomeMy WebLinkAboutPermit Electrical 1992-8-19 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number <1:z //t/ /' OFFICE: 726-3759 A. 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 1. LOCATION OF INSTALLATION '33:'0 &.ua....~ Ilr.Jnl V. I ;;, LEGAL DESCRIPTION /7-C> <' -/"7 - -y / .?dP /c:e:::> . / JOB DESCRIPTION ~(//c~ C~~~ 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 1"'1/&?<'Jol""'i::>).J gG'c7ii!',c Address /)2- Y7~/-'.b1.d ~/}~ ''''' v : Phone ~ -J-J- '1;;- Number 3017 s City~~ Supervisor License Expiration Date 10- 1- 9"2- Constr Contr. Number ~~~~C) Expiration Date /0 ~ f- ti 2... Signature of supervi~~ician a- '''/1 f"d~./ -; ~ r /~,jC/ , . Owners Name JtJa /'J~ 1J1, JI-u'" Address 3 3 ') 0 .~d__ ~p ,R.), Ci ty s:~ d Phone OlINER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: --.9-..e- ~ RECEIPT #: "::;,"7~ RECEIVED BY: ~~/_ 3. COMPLETE FEE SCHEDULE BELOV B. Services or Feeders Installation, Alterations or Relocation: 200 amps .or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. '. $ 50,00 So "::.-- $ 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 One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 Q_e:> 2_ :;-0 C2....S"',.-:?