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HomeMy WebLinkAboutPermit Electrical 1992-9-21 'the,lollow/_ , ~~ ;ZOning nn.rOJect a. sub ' _ ~. 225 FIFTH STREET apprO'ai, ". not reqUlren;,~~~as the fOlloWI~LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 c/anciuse 9 q c-. ", INSPECTION REQUEST: D~?e6-34g~g~ City Job Number II 1-....0 6 OFFICE: 726-3759 e~ ;\~thorized S' 3. 1. LOCATION OF IN~TA{.LATIO~natlXe_ f?i:l. ") \ \ Cr.. \,(dfL\~ A. LEGAL DESCRIPTION '{O~ 'Z.2l.{s Caa02. JOB DESCRIPTIOW\ _ la u..Y\\ ~ Permits are non-transferable and expire if york is not started vi thin 1BO days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~~ Fleck Address Y<J7 )lw 7 8>fY'. ~t- Ci ty \j~,^(olA.\Je{ IJAPhone 5)1.{ \366 Supervisor License Number Z'l()q S Expiration Date 16 - \ - CfG Constr Contr. Number t.(b~ ,8' Expiration Date 2. - \ - q:s Signature of Supervising Electrician Y:" ,....a/ L1 A?o - P Ovners Name l'J\c:.\t\el\?-~e. rnecd~S D. Address n \ fil0 s-t'-' ^ \j e City CbJ\c..~ Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~;;~------Z{~-~r:'1~~~------------- RECEI PT ~: (S) ?-:0l!'< RECEIVED BY: fA NV'-~ COMPLETE FEE SCHEDULE BELOV ~QV ~sidential-Single or Multi-Family per dvelling Service Included: Items unit. Cost Sum 1000 sq.ft. or less ~ $ 85.00 ~.~ Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above Nev, Alteration or Extension Per Panel One Circuit Each Additional 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 S 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 8'50. ro '1 z.. \Q ~2.<:;n ~ 6:-e-~ rt qg'b