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HomeMy WebLinkAboutPermit Electrical 1992-8-20 ~'-'1""'""'-";.'~'.. .... .,"'" tf1 225 FIFTH STREET , ,', "'.CIMsubmitlodhos\,EIlEsrmAL PERMIT APC{ICATION C80 Q SPRINGFIELD, OREGON 97477 ~t:~,:'~;'''~;;~;~~:'~ ~ot .equire speclllc 18n<1 U6 . ~~ : CI\ INSPECTION REQUEST: 726-37~?';,,:;;:,i. . III (\ , City Job Number ,. . " ~. OFFICE: 726-3759 '_ '0" \' V _ - ,. , . . f,f'J\'N rf(\3. COMPLETE FEE SCHEDULE BELOV , 1. LOCATION OF IN~~ALLATIQN::>" ~...:...'1~-- ~ "61 ~3 m FWJ ~er "='^" ,,;~nalurCA\,likeW-RerldenfiBi-Single or , . .- Multi-Family per dwelling unit. .'." \J.,EG."AIH>~PAI~ l"\ADr'\{ Service Included: " . I ()',..}..""'))'-\\ (J....X ~ Items Cost Sum I I r ,JOB ~~qqPTION . (J..../ 'I 1000 sq. ft. or less lJV (;It( Tt:::NFrNr:sDr+u;:, rJ DorYlI f) Each additional 500 . 'F-IO~I~, sq. ft or portion Permits' are non-transferable and expire thereof if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling '180 days. . Service or Feeder 2. CONTRACTOR INSTALLATION ONLY B. ~d-~~?triCal ContractorL. t(, 81< IH3n!l-l11,1JJc.. AddresslO~ (A), "r0"~6T Clty6p4tJ, Phone 747&&3& Supervisor License Number I ~73S IOjllt12- Constr Contr. Number ~0qq J~II~ lUlL Expiration Date Expiration Date ~ Signature of Supervising Electrician ~ //1 ~~ Owners Name m\4-lQ.-r~^ \M&'1aL- Address 51 ^:) !IY\ fti r0 City ? p,h'D Phone 1 d,0.rAql, OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: --- .. n- {]' '-------------- DATE: H ..:-.lJ. ,-/ 'd-' ~ RECEIPT II: l (F. ,'-'Yf X/ ) RECEIVED BY: ( AI/ r '1 - I - J --" Services or Feeders Installation, Alterations or Relocation: 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 S/) ,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel' 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL One Cf.rcui t Each Additional. Circuit or vith Service or Feeder Permit I I $ 35.00 35lD $ 2.00 ;?~, 00 E. Miscellaneous '(Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting ~. Limited Energy/Res Limited Energy/Comm $ 40.00 ~ $ 40.00 $ 20.00 $ 36.00 ~,Off ~~ , . 107,00 '5, 3.~ 'IIJ,,~'S