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HomeMy WebLinkAboutPermit Electrical 1992-6-18 ~""INl.i.I'll:.LU '.' _ submitted l\llII the foil n The following proJectt 8~UI19 specific land uee loning. and dO~5 nO r 225 FIITH STREET aI SPRINGFIELD, OREGON 9'I}?W . MOQ...- INSPECTION REQUEST: 726_3~\ng. OFFICE: 726-3759 -Dele "'11~1,>>_ , - bod:ed S1gnafure~, 1. LOCATION OF INsTAL-tl\\nUN '7// ~h 0"" ~~~1J_IJJu;-3-7YOI A. LEGAL DESCRIPTION /7-0:"- ;;J~4< Iii<( d;r / to Mi~~E PT~" Z- 'f ('ntiir,()~ .II" Tu-.-0 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 Prnft Ehc!AJ'(o)~ , Address Yo1 4)Uj '7ft;i.~ City{)~u". /,JrYl Phoned<:l"-s7\f-(g~~ Supervisor License Number .;) 90'1-S ( nO I ...q Il Expiration Date Constr Contr. Number L/t,f..'71J Expiration Date () ~/01 /q,;? Signature of Supervising Electrician y) L...d<'1-M City Job Number q II Z2~ ~ eo"t""'lt. I't.E SCHEDULE BELOII New Residential-Single or Multi-Family per dwelling Service Included: uni t. Items Sum Cost 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 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 volts ~<6D $ 40.00 $ 55.00 $ 80.00 see n8" above D. Branch Circuits Owners Nameff)G//,;,~t'R f17.,~.fL,-.7'~ ~O US ~a~~-n. New, Alteration or Extension Per Panel Address III S:I1) ,<;JJ;> ,,-,,-- f) One Circui t $ 35.00 Ci tyll'lII7#rij (h _ Q7.;l:lLPhone Each Addi tiona1 . Circuit or with Service OIlNER INSTALLATION or Feeder Permit $ 2.00 The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~----1c()-~\~~~~---~~----- RECEIPT #: L 4-,,,,,... (l.:.--.,lJf / RECEIVED BY: \-011 A/tl ./ 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 ,.()Pf).0J 5% State Surcharge t"1'UU_, TOTAL ,.!.,)''14.PV