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HomeMy WebLinkAboutPermit Electrical 1993-01-08:;I 't rI'l(-:r Ie Lt) qfr 225 FIFTB STREET SPRINGFIELD, OREGON 97477 INSPECf,I0N RBQUBSTI 726-3769 oFPICE: 726-3759 1 ELECTRICAL PER}IIT AP Ci ty Job Nuurber ..*€OHPISTS.'FEE SCEEDUIJ BELOV Nev Residential-Single or HuIti-Family per dvelling unit. Service fncluded: I tems Cos t s Bs.oo $ 1s.00 s 40.00 Services or Feeders fnstallation, Alterations or Relocation: ,r.:.'.,,'.,. LOCATION OP TNSTALI^ATION/0Lio B9!,tl,,5! 9"'t ffifid-hsJ&S ao^ I JOB I o",,V.l)-b.^ t-,",99 -SI-* BA. Sum <a vrl s Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALT.ATION O}ILY Electrical Contraetor n Dl- Address ls-c, ( J)...-.- | Ci ty Phone Supervisor License Ndmber AS L J L€ Expiration Date 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reeonnect Only STETOTAL OP ABOVB 5f State Surcharge TOTAL B s s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 /t2'- I -93 Constr Contr. Number 9.21,/a Expiration Dale t-t Zri-ji1 Signature of Supervising Electrician ,{ C J r"---^*/ 0vners Narie f ,.-., D.L,,-i.(u Temporary Services or Feeders Installation, Alteration or Relocation C s*t;i=P.*i Nev, Alteration or Extension Per Panel phone .1Lt I _1oL3 Onb Ci.rcuit S 35.00 Each Additional Circuit or u,ith Service or Feeder Permit $ 2.00 200 amps or less $ 201 amps to 400 amps - S Over 401 to 600 amps _ S 0ver 600 amps or 1000 volts se Limited Energy/Res _--ffi-l>< D. Braneh Circuits E l'tiscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting_ S 40.00 OVNER TNSTALI^ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0nners Signature: DATE: RECEIPT T: 40 55 BO r€ .00 .00 .00 ilB''above f Address Ci ty c/ct t-{^-'-4-t s 20.00 (i<) RECEIVED BY: 5 S 36.00 s 1000 sq.ft. or less Eaeh additional 500 sq. ft or portion thereo f Each Manuf 'd llome or -Hodular DweIIing Service or Feeder t ) )