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HomeMy WebLinkAboutPermit Electrical 1992-12-29 l~~t c.s submitted hs~ the following '"' not require specific land use Li)~ 225 FIITH STREET SPRINGFIELD, OREGON 97477 Zoninp INSPECTION REQUEST: ilZ~-37691~ - 'd.c( - <Jd, OFFICE: 726-3759- C ( Authorized Signature:~ ~ 1. r-oL,Q.C~~ 011' 1~~TALLA'l'ION /....\. ~' ~:::'I \\'\~'LOf\:tt 0, l;3D A. Rl,GM- DESCRIPTION \' \( )Q.2,~()(\ (,)3\.AXL I- - JOB DESCRIPTION , l A 0 (\\)\[\ f\() r'T ....~o_,1J I (l12 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 Electrical Contract~B~l~~rtO f...':L Address ~q~ Art..... City-X1X/QJ1.J- Phone 4<6 S-rRt2- Supervisor L?cense Number m ~OS l(), \C(~ ()4Q..C{(O \k. \\) .q~ Expiration Date Constr Contr. Number Expiration Date , Signature of Supervising Electrician ~~ . . t7 \r.' A /' , Owners Nallie V \ () l ." ~ Address I\~f\ S U0Y01l\~~ Ci ty ~+- ~ __ . Phone f4b-ls4 \ OIlNER INklLLATION . The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~E~~-----\~~~~~~-----~------- RECEIPT II: - \..--JL, ~ - 'n 1d4 RECEIVED BY: \. f1\l \.A..../ City Job Number r~PLETp. FEE SCnEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 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 Reloca t ion: 200 amps or less $ 50.00 201 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 --1 $ 40.00 4/0.DO 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 "8" above D. Branch Ci rcuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit S 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 S 36.00 40. (X) C)1,00) 4-8. ,ou SUBTOTAL OF ABOVE 5% State Surcharge TOTAL