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HomeMy WebLinkAboutPermit Electrical 1992-6-29 ~ ~:'O"owing project S. '''bml ELECTRICAL PERKIT APPLICATION . .g, and does - ~ lled 11" II! approval. ,not requIre Sj).,"Cff'e:r'rH"? ft-';0"1n', /?. 2 07 CJ.~ Cl ty ~ob Number -/ 0..-/ 201"'0 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 D,,.: 3. C E FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ;'(:"1011r"" ~ 97CJ NANC L/ SIgnature v Residential-Single or ~ u tl~Famrly-per dvelling unit. LEGAL DESCRIPTION Service Included: J 7/J '<, 27 -:2.2- (d'ltJV Items Cost Sum JOB DESCRIPTION 1000 sq.ft. or less $ 85.00 ~!J) 2 00 A-..L!1/' ~E&.III(C: Each additional 500 sq. ft or portion Permits are non-transferable andrexpire thereof $ 15.00 if vork is not started vi thin 180 days Each Manuf'd Home or of issuance or if vork is suspended for Modular Dvelling 180 days. Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractl?r Loft. /l'IotR/(, E/~J-.. Address 4e'5 s },JiE'LLey S Tie. Ci ty__c, I" Po. Phone /47- og'1 ( Supervisor License Number ~ DD(~ S Expiration Date I n/ I / q ') Constr Contr. Number C?/l?31\ Expiration Date ~/~/92.. Signature of Supervising Electrician -x'L ::;~~__ Ovners Nanie 11./11/,4,,,-,, LGet!P/F Address 97""J 11/4/1/<:'4 (, Ci ty SPP/J. Phone 747- all(.. OVNER INSTALLATION The 'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: ~~~~:~-:~------~~~~~-~--------- RECEIVED BY: ,~~ Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 5D~ 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 5c> O.Q.. '2- 5 C' .5:;" GO