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HomeMy WebLinkAboutPermit Electrical 1992-2-19 ~I S..JIINGFIELO t#~~ ~ 225 FIFTH STREET ~. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 tIJ::,r nl"'v\! ~ Q INSPECTION REQUEST: 726-3769 ~~\o\-:"?""'""' City Job Number '-1d.J ~ h-J OFFICE: 726-3759 '0\\<J" "c.ooe& - - ~0\ 1:):' I "\'~"":'#' ~. 1. LOCATION OF INSTALLAT:rQW'Q'l 1.o~ . 5256 Main St., Springfield~R A. , ...oP," ,~ ~.- LEGAL DESCRIPTION 0" ~ 17-02-33-3-1~04500 ~ . JOB DESCRIPTION Connect pole sign 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. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor RAY-a-LITE SIGNS, INC. Address 101 N. Seneca Ci ty Eugene Phone 688-2500 N/ A "'\ ) Constr Contr. Numb?20-160 ~ Expiration Date l~:qcCf~) . X11..fJ 1.1 ,O-::l. ~ of soP~~~ . U Owners Na~f'(\O l:'v\--\7) r<\ho 0 D. Address\ ~A~ t 0 m~ ~ 1\ ?rt-- Ci ty ~{Irt PhoneJ1tr-~3l0 Supervisor License Number Expiration Date N/A OlINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 2---L q ft.2--- lRECEIPT 11: 17777 RECEIVED BY: c.;v-.. OHP E SCHEDULE BELOV ew Residential-Single or ~ Multi-Family per dwelling unit. ~ . Service Included: \ Items Cost' Sum 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: $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 55.00 $ 80.00 see "B" above 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits 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 1 $ 40.00 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 40.00 2.00 42.00