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HomeMy WebLinkAboutPermit Electrical 1993-2-1 , . ''''... co 'l "",, ';'.r' ~ " _' ill..J I.... .V'" . lr.' ~~':"\"''''j - .1: '..I ..... '1' d U~'" ~ ,_.,. . 'j ~. . I;;.......... ...1.'..... ...11 .., ,-"1. J",\.o \.0..... - "..., ,....--\~. . r.,.. 'C'. ~ 225 FIFTH STREET ai'p,,'vn;. ( SPRINGFIELD, OREGON 97477 zcn:cr..._U INSPECTION REQUEST: 726-37~9 2-::.-1 q S OFFICE: 726-3759 alE - ~ ') Alrtholl2.adSignalure ~J, \:.vnrt.r;TlS l'EESCHEDULE BELOII 1. LOCATION OF INSTALLATION I B "er f/o;.tUtt- p/'r"fl;A/1'r1( ~f"A. ~~~arzt~ () 19LtL JOB DESCRIPTION JUVM' c.-~#~(, U/rrGt- wfi1../, 51.1-"'" 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 MAI1.JC. ~sf"f.tz.. Electrical Contractor r::uPli,vt C;!Y'?Q)7 City Job Number New Residential-Single or Multi-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 B, Services or Feeders Installation, Alterations or Relocation: Address /2.1 0 tlklC-r' ~vrl fZ-I7, Ci ty tfu-tfH,./(Z.. Phone 49<)-5""!i~ Supervisor License Number 4-(p l> Sr: Expiration Date J-(~-"'13 200 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 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 62qt)7 {2- "2--0 - <'f) Signature of Supervising Electrician 7/f~~ o.n", ,,;.Q.''l OQ~!) ll:.(W\ ,_~D' Address IRCd1 ~ ~'fm 0 r-~tw Ci ty ~ N . Pho~el ~ Js-/0t0 O\INER \N~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~ATE~---r~lJ.R ~oi)- . ~-------- RECEIPT it: ~ " r I ,-",/ JAi- RECEIVED B..,:-==1 J) (I)" -=-' 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 New, Alteration or Extension Per Panel One Circuit Each Addi tional 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 Lightinp: ON.t- $ 40.00 40.- Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5, SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 4-0..:><> 7- ..CJP 42-.(5)0