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HomeMy WebLinkAboutPermit Electrical 1992-8-7 ~ S'-ltlNGt:II.:.LD ne following project' b. . Zoning, and does not ~eqS SUI millad has tha approv ,ure specIfIC Ian . 225 FIITH STREET a. ELECTR L PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ...?onlngl!y\ \ fl (\ If5"n INSPECTION REQUEST: 726-3769 Date~ ~l(Y Job Number L/\ .(A \ I I ~I OFFICE: 726-3759 II \ * Authorized Slgna{\lce. ",l2IDfi'LETE FEE SCHEDULE BELOV . ... 1. LOCATION OF INSTALLATION l/6B t -A MA IN S T, $ r F 1..1::> A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: \ rff)t,iE~l"I~~ nn \ ('[) JOB DESCRIPTION ~eQVI Co/;:- c'+>>'N '-" 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 R. L.., <;C.rI"'ITt Add ress ? /30 Pic V~'7'" '" (/, irW D ~ Ci ty E v 6 , Phone> "1-/- &6gif Supervisor License Number 6 1. I - S Expiration Date /t>-I-Cl7.- Constr Contr. Number 2.0 -"). ....,- '- Expiration Date /0-1-"'r1- .Signature of Supervising Electrician ~~/~---- . /' - ;- . Owners Name Li?Si-ll-- u)~......c.'c)J..,.J Address)77 jO, blS"Il!. PL Ci ty <) f'P'-D Phone'l/.fb-0355 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~;~~==-~~~~~-~~----~-------- RECEIP! I: b') _ _ v)'-h~Ct- RECEIVED BY: )// YA- - \ '--'" 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 $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less l \ 201 amps to 400 amps. 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 (6.~" 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t ~ $ 2.00 4"~ E. Miscellaneous (Service/feeder not included) . -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited EnergylComm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 7'-/"~ rV.'j( ~ ,!5w.'IC