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HomeMy WebLinkAboutPermit Electrical 1992-12-14 225 FIITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. opproval. (I 97477 Zoning (\.... 726-3769.... _ P. '1- <lI "l Date 'n-.' -~ ~ Authorized Signature_;) 5 1_ LOCATION OF INSTALLATION 5811/5809 Main St., Spfd., OR \ ~~D3~rN ~Q-I)(Y) JOB DESCRIPTION Connect flood lites to existing circuit Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. SIGN 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor RAy-o-LITE SIGNS, INC. Address 101 N. Seneca Ci ty EugeBe Phone 688-2500 Supervisor License Number m-/~ In . (. q3 - Constr Contr. Number 2Q 166 CLS 1~O C, 1'CJ193 c:2. \ ,qS Expiration Date Expiration Date Signature of su~ Electrician ~~\.l ' Owners Name \ \ D . ^ ~7'l:::lM Address,~l~ ~ Ci ty ~ n Phone 147 -?;SS1 01lNER INSTALLATION The installation is being made on' property I own which is not intended for sale, lease or rent. City Job Number rnuDI ""'~ :"JE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: uni t. 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: Cost Sum 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 $ 85.00 $ 15.00 $ 40.00 . $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bit 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 instal1ation Pump or irrigation $ 40,00 Sign/Outline Lighting 1 $ 40.00 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: ~A~;~;;=;[~~-rr~~~-~----~-~------- RECEIPT: ..-/ . /7; ) I -IJ" RECEIVED BY: ("-1yj}~) - , 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 40.00 2.00 42.00