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HomeMy WebLinkAboutPermit Electrical 1992-10-6 :,j1."I,..,t..,;,I'I~l.U ~ to\Oc\ e.s S~if~ speci Ie ,..... \0\\0":'109 P ^~ oct rec; ~~ i". ddov . 9~~;;;~~ 'Og~ ELECTRICAL P-ERHIT A;r\C\AT2ION 00 72~_~~1. ~ ~ Job Number '-1 0 0 () _ '"cSi90"t\..>('--~-~OHPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALU\TfoR" '/ll (r,Vdtltf' t=:\L?f<:'(y'1'r..\;i,.I~,.lJt.- A. . \ - \ . LEGAL DESCRIPTION O(NO \ I, ()?, d;Jl..(?, occo3, D. Branch Circuits Owners Name rn. L\c -{.ml' e. 1M-(Ii,r.IO-t1~ --W. Qv-l-"~,,,I' New, Alteration Address J I ( ()cJ!~lfa I-e... Ci ty 'ly\rr!\ f\ el 0\ Phone d]L\, -Rl\ ro OIlNER INSTALLATION 225 FlITH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 JOB DESCRIPTION, k Bet IAnl"l.) 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 Contracto~(-\'ULled-r\lM(. Address LlDl NvJ '/ ~..IJ-... ~wt'{- Ci ty \h(\lO-U)U/' Phone_ (~ ') 'S,ll -13ld/-> Supervisor License Number ~C,~~ Expiration Date \D~ ' ~C13 Constr Contr. Number LLlclo'1~ Expiration Date ~hlC\.j Signature of Supervising Electrician ~-..,~/L~ The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~;~------T~~lr;-:c:r,~---~------- - RECEIPT #: (-f.. ,,:~()~ RECEIVED BY: (~( L c/ New Residential-Single or Multi-Family per dwelling Service Included: uni to Items Cost Sum 1000 sq.ft. or less .?-L\ $ 85.00 '!JO-iD ,cO Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 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 v Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "Bit above or Extension Per Panel One Circuit Each Additional Circuit or with 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 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .::l!UoQ) i6:J-cD Ollq;;l,n(\