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HomeMy WebLinkAboutPermit Electrical 1992-6-4 ~,.I~ ~. 225 FIITH STREET. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 !~:;':,~'C'Nill~prOjeclnoo~:',"I:~.:lhootilefu';cr". q 44?i 1. LOCATION OF INSTALLATION" l~O~4~ ' -3'.-COHPLETE FEE SCHEDULE BELOII ... 5610 ~~/I/ t'''''''.';'''O''''''''M'''':> l~ New Residential-Single or ..,. - Hul-H'-Family,per dwelling uni t. .. Service Included: \ -1mE~~~N D3YD L \ ~OB ~~;~ 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 ~~ ~ Address Q () \?-{W J ~V City ~t(~ Phone\41-~??G Supervisor License Number \ 1.0 ~LR~ \() , I ,q~ Expiration Date Constr Contr. Number--.t)3~~ q.f.Q;:0 Expiration Date Signature of Supervising Electrician - /??~ - k' IJ.) 0 > Address:O J <(Z S lAJ~ . Ci ty S)Q~ Phone&~(,.,' QloltiS OIlNER IQSTALLATION a Owners The .installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~--\-~-~2\-~CJC~-~~~-~----~~---- RECEIPT #: \ 0 . --"\X'X~ RECEIVED BY: c-.i\t1'(} ..J 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t 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 "B" above Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/outline Lighting Limited Energy/Res Limi ted Energy /Co'mm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge , TOTAL BwoP $ 40.00 $ 40.00 $ 20.00 $ 36.00 "2).~ d). . ( :::J .P) '7, 7;5 .55 .ou ~ 11~1~