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HomeMy WebLinkAboutPermit Electrical 1991-12-19 , ~~fT"r.;..;":,:l:"; ./ ~. t 225 FIITD STREET, SPRINGFIELD,' OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION _ .b-?.20 /l{,q / A.J LEGAL DESCRIPTION p~. /::>~ . OiL J.Q.B DESCRIPTION :7 0' {L:.:YA./V 672..T =' :R. 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. COtlTRACTOR INSTALLATION ONLY Electrical Contractor Biu (de.u Ek~1iit ~ Address :21'3 #terNt:rl: City f=~' Phone yy~ - c:1''1.2-. '2 Supervisor License Number :2..."1?(J S. Expiration Date /0 - / - 7'..2- Constr Contr, Number 0 <;~7't1" Expiration Date /;1.. - /~ - 9/ (;i ty Job Number 3, COMPLETE FEE SCUEDULE.BELO~ CJI/Y/2-- It ems Cos t ~ . Sum New Residential-Single or Hulti-Family per dwelling unit. Service Included: ' A. ,1000 sq,ft, or less Each additional 500 sq, 'ft or portion thereof " Each Hanuf'd Home or ModliIa:r', 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 Signature of Supervising Electrician ~~' , Owners Name 7<. f7. 0'/(..... 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: 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 D. Branch Circuits $ 40.00 $ 55,00 $ 80,00 see "B" above Nev, Alteration or Extension Per Panel One Circui t ----- $ 35,00 3~ Each Additional Circuit or with Service or Feeder Permit $ 2,00 111 scel ianeous (Servi ce/ feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Liinited EnergylComm E. It:! ~~~;~=-------T?7i,' ~2-~~-:-~----- 5. ;~~~~~; ~~r:~~~e RECEIPT Ii: ~~= :_,ht ~.t:=;~ ~ TOTAL . RECEIVED BY: ~' , 33~ not included) $ $ $ $ 3()~ - {'7, . '? 0' 7~ ~ 40,00 40.00 20,00 36.00 . Ye~ . .. ./ City of Sp~ingfield 225 Fifth St~eet Sp~ingfield, OR 97477 (503) 721S-3753 T~ansaction numbe~ 00335b Decembe~ i9 i99i 9:20 AM BUILDER'S ELECTRIC OIL STREET St eceived f~om ont~act/O"'n dd~ess: 293 it Y EUGENE : B.P. MONROE 97402 OR Zip -BoJilding- 9i i472 ob Il: Fee 35.00 i. 75 esc~iption :lect~ical tate Su~cha~ge 31S.75 3b.75 Check Total Received Check ~ 20iH Melanie D Thank you lfilt