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HomeMy WebLinkAboutPermit Electrical 1992-12-4 ~ 225 FIITH STREET 2'110, fo!I~Wi;g proinc! "" 'U,bmittod roa" tho fol!oBt'eCTRICAL PERHIT ~PLICATION SPRINGFIELD, OREGON 97;77~~~:af.nd doeD not ""qUl;~ speon!o !and lJC" INSPECTION REQUEST: 726-37~J,n;n9. (C OFFICE: 726-3759 Doto_td-. - q - 9-5. 3. 1. LOqJ;IONI ~F .INSTMJ:Ar:!,~~ Signaturo <' <::; 34-Lf ,....., AI.r\ 'J:t( ~ -.-' fi. .14lGAL ~E, SqqPTI,(lN i 1 033';) 'J ~ 1/') f<DUlL t<./'a V ~ I~ 1\ \ fOB DESCRIP'lfION ...ruw) mdl,v.lYJsL Permits are non-transferable and expire if work is not started within 180 days of issuance orif work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor.H8MdJon Qed:Y1~ Address 267_ lv, <;;'-k...- city~/ Phone 4&s '!'Iss Supervisor License Number \ 3 :3 8 - 5 Expiration Date \ 0 - \ -q S Constr Contr. Number 2<t.IoSG Expiration Date tD-\-q3 Signature of Supervising Electrician ~~~~~~, ," Owners Name \d."^,,, ~()c)(~-h'ln ~l-/ C\ \tV\ ~ Address Ci ty ~ Phone OIINER INSTALLATION The installation is being made on E. property I own which is not inten~ed for sale, lease or rent. Owners Signature: ,~ DATE: ------'jl~ l 0\":)..----------------- RECEIPT I: (#j ":>&> RECEIVED BY: C'.C., City Job Number C) d. / ip4~ COMPLETE FEE SCHEDULE BELOV Ne~ ~~~~Jential-Single or Multi-Family per dwelling Service Included: unit. Items Cost 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 Services or Feeders Installation, Alterations or Relocation: \ -5 0' 200 amps or less $ 50.00 0;- 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps,to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 volts $ 40.00 $ 55.00 $ 80.00 see liB" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t . $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigat'ion Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,~ .' uO,- (", :)Q I') c. 00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ',' r