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HomeMy WebLinkAboutPermit Electrical 1992-3-27 S""ING'!IIlLU . tif The. followln. projoct e. submitted has thlH&lMi!lJCAL PERMIT APPLICATION 97477 :~~~~~al'nd does not requir eeifie lend use . 726-3769 ' Ci ty Job Number 9/077/ Zon~ Date ,!,j.. . COMPLETE FEE SCHEDULE BELOI/ 1. LOCATION OF INSTALLATIAt~ /"j.A ~~5 O~K.D.A~ ZedS/gnature . U/Q N"" RElsidential-Single or Multi-Family per dwelling unit. Service Included: 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTION / 'J-d3 -1..2 -fX)- 62"Z 17 JOB DESCRIPT.J. ON \b.'~ 'TbY7P ~ /-IPr. 6P/'??P/ s ft. or less addI ional 500 ft or portion Permits are non-transferable a d eXPire~ thereof if vork is not started within 1 days ~h Manuf'd Home or of issuance or if vork is suspende or Modu:a~Dwelling 180 days. _ ~ept.K"e or Feeder 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor (It7UR7t:5v CLEi:::T.e,C- Address c,?CJO )../,E, 7';71+ 6-. SufT€ C/ Ci ty ~LA"'D ""7~~hone :;56-;::J<Io~ Supervisor License Number dl<f 7 :1 Expiration Date \0 . \ . q n ) Constr Contr. Number /9t/tR -* Expiration Date {().fJ.(O' q~ * Signature of Supervising Electrician Owners Na~~ '1 f'tLf-\ ~ 0ff . Address:~ 'ldf1\lC\ ) Ci ty ~rn. rt Phone '14' { OI/NER I~S\lLLATION The .installation is being made on property I own which is not intended for sal~, lease or r nt. o er~~~~~ture: -AT.-;~~~~;~~:~-fiJ5 RECEI PT I: t _ ---.. RECEIVED BY: C '_0CV 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. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60'.00 $100.00 $130.00 $300,00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" ~,e above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit I Each Addi tional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 35.~ $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 75'qg. '?,75 ,1$ 7'1;75