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HomeMy WebLinkAboutPermit Electrical 1993-4-16 , '~T;):;i'" ~':~ .m-. _, ~ d.;"(. . " -~~ ~~ . ~~.~0 '~J e'- . . ,O'~c\ ~ ,.o.v . _, 1pW. \ . "'?'^Sr,o y e. "'!f 225 FIFTH STREET .,. \O~.:;:~~~ co- L C- . ?LeCTRICAL PERMIT APPLICATION . . SPRINGFIELD, OREGON 97477-<. 4.(c'0. . ~ 119 ^2q' / Th5PECTION REQUEST: 726-:~Z69"" 'i:J\r-:b~ ~l 'J ,I"" Ci ty Job Number C{j U....J'-( OFFICE: 726-3759 A ,~--- ,0 ."~~ <?i\\p<>\-J '3. COMPLETE FEE SCHEDULE BELOll 1. LOCATION OF INstALLATION \, ;.,;,:00 \,\,- 4213 Main St. ,.0 " Jf)~~.~~~N () \qrYJ JOB DESCRIPTION qp~llritv Alarm Installation 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 .limCD Electrical Contracting, Inc. Address 1707 S. Main St. city Lebanon, Or. 'Phone 258-6111 Supervisor License Number 3075 S Expiration Date 7/31/93 Constr Contr. Number ?2-lOC ~ Expiration Date 10/1/93 ~3 Signat. ~e of Supervising Electrician C/~ 7J. /1,~>>! Owners Name Cash King Liquidators #3 Address City Phone OllNER INSTALI..ATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: --~---------- -----------------~--- DATE: + lip' ti3'..-, J. ~__, RECEIPT 11:_ _ o {-/.."/ "_ RECEIVED nY:_~_ '_._.._-. A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Items .1000 sq.ft; or less .Each additional 500 sq. 'ft or portion thereof Each Manuf'd Home or Modular Dwelling . Service or Feeder Cost Sum B. . 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 c. , $ 85.00 $ 15.00 S 40.00 $ 50.0n $ 60.00 $100.00 S11(1.00 ,:~ 3:~iO '0 :i 40.. J Temporary Services or Feeders Installation, Alteration or Reln~ation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps 'or 1000 vol ts D. Branch Circuits ~ 40.00 $ 55.00 $ 80.00 sep "B", above New, Alteration or Extension Per Panel $ 35.00 $' 2.00 E. Miscellaneous (Service/feeder /lot included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting S 40.0U Lirni ted Energy/Res $ 20.00 L~'. . ced EneI'gy/Comm $ 36.00 _}g.&O One Ci.rcui t Each Additional Circuit or with Service or Feeder Permi t 5. SUBTOTAL OF ABOVE ...J.fi....Oo 5% State Surcharge __1,80 TOTAL 37.80 -* flf1Ll1 insrw} I'JY' fU'di'~ /Jusi/1fsJ /ht/J~ ------------".. - ._----------