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HomeMy WebLinkAboutPermit Electrical 1992-3-30 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION /.2.(')D #//I~c.)I....A- \-lG~ ~~grl~ rr-At-f~ JOB DESCRIPTION ~,^I\.o1_ I 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.::)Awv.> }fA,., Ei.eq; IPC, . Address PtJ.B, 27.1<1 L- Ci ty Cusl!:JJl!: .Phone Jl'2c.-7oc/.n Supervisor License Number it3577:5' Expiration Date /0-97_ Constr Contr. Number t..t./;;;)73 Expiration Date '2-/2.-'7'3' Signature of ~~rvising Electrician uQ;::f(~ . , v Owners Name Address City 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<30 -'1'::J.- RECEIPT 1I: l./ I b -;L RECEIVED BY: Q~JA_ S,"'IIN(,;OFILLU City Job Number 9;>0353 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. 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 unit. ~. cost~ $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Iristal1ation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circui t I Each Additional Circuit or with Service or Feeder Permit $ 35.00 35.~ $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 35.~ 5% State Surcharge /,75 TOTAL 7113(,,:75