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HomeMy WebLinkAboutPermit Electrical 1992-12-30 v . SPRINALO SOIl 2:v>"'Ti'" "''''''1''1&..,.. QP,-..r("/' ::1. \~ ,:,' . ....!...~~ 'j'... . ".', - 'V""',vl'c~:%~"'}':<l1>8S ELECTRICAL PERMIT APPLICATION 9747,7 2'~nlng C (" P'C/iiC/,,~afo/{OIW. 7'26:"3769 II~~ lIse Citr Job Number A."thof' ------'::t:;J<J'3 .~ ' "'ad SiGn"!,,, I~..... 3. COMPLETE FEE SCHEDULE BELO~ 1. LOCATION OP INSTALLATION a ~ Cl '" q:;) 1)'11,17 M A {j./' S-& . Ne'r'Residen tial-Single or i-Family per ~welling unit. Servic Included: 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726~3759 4~ Dl::S9l,IPTION { 1'0?=:'-:5 :;2,-d I ()':)!Orl JOB DESCRIPTION I,JA/I C;/~"" Ar Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500.. sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder q ~J 57/ * Items Sum Cost $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations . () " 1 Electncal Contractor .)I.A.N 7.".1:. S.!J~ or Re ocation: , Address f-lS'.s-'/ q iJ tile 1.1 LA M'" , Ci ty f).{ Po e}./ p Phone '7 '-I /, - ry II 17 Supervisor License Number ~~ ~ ~ Expiration Date -J/a:T' - /{}-)-9,:,. Cons tIC Con t r. Number p,n LI .z. '% Expiration Date /O-I-Q/n '. Signature of Supervising Electrician 2?A/;' f! 07.L7-h'? Owners Name,K'", V EN'", ^'" /-' A/ .' Address.5"7/.. '7 /VIA IA/ ,<;r C. "''' Ph 1 ty -1' h I AI,: "fe'_ f..d one '74 '7 -/4 /., 78 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: J { -C,_ q::>., RECEIPT ,: v iD! q I RECEIVED BY: I ~ l\ 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $-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 D. Branch Circuits . $ 40.00 $ 55.00 $ 80.00 volts see IIBII above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $. 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting~ $ 40.00 Yo.CO Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE l.fO..07) 5% State Surcharge '7,?X) TOTAL