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HomeMy WebLinkAboutPermit Electrical 1993-1-26 .. . ct as submittad h30 the toll owing The,f- Ing ~~~J~ot roquire specific land use 225 FrITH STREET zOnln~. "nd d. ELECTRICAL app,oval. I t? SPRINGFIELD, OREGON 97477 ~~ INSPECTION REQUEST: 726-3769 Zonlr.~ C.i"? ' Ci ty Job Number OFFICE: 726-3759 O"te_~G. ~ (...J , .~ '-ed Signature <..<. 3 . 1. LOCATION OF INSTALLATI~NonL / ~tA P,'o~r p/(u/. FIH/ A. LEGAL DESCRIPTION ~?-t'?J-2~-2"=3 b/~'t:> , JOB DESCRIPTION l""..-r",1 / $"~u"~ryJ~/<T-<"....._ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor St"l" .:71--",1 ",.f!E~",,,"c:- Address 10 /J~'C '7..ldlcJt1' Ci ty P"Ub"__~ , Phone 7'If:C"t;:./Y'/.f Supervisor License Number .5 7 ;eGT Expiration Date /~ /93 Cons t r Con t r. Number (/,"l/ l./ OJ Expiration Date (,,-7-7- q~ Signature t4::- of Supervising Electrician ~~ Ovners Name (lA~,"/~.od./,...,..."" J Address / ~t.,tl p;"o~o!v- P IG.-o, E-ifS/ C i t y 5/Jr}"1' f{. .Jl OIINER INSTALLATION 7;, C. -[, Cf'?~ Phone The 'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: RECEIPT II: RECEIVED BY: I~P~ ?';j?1 'Z.. /7//_ -,-. .:j?r Itf~ - ~J0G COMPI"T" ""~ SCIffiDULE BELOI/ Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder 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 uni t. Cost Sum $ 85.00 $ 15,00 $ 40.00 $ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 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 $ 20.00 Limited Energy/Comm $ 36,00 ~ 5. SUBTOTAL OP ABOVE 5% State Surcharge TOTAL "3 <P. 190 / , I?tJ " "7. VO