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HomeMy WebLinkAboutPermit Electrical 1992-1-2 (2) S.-.IINGFIIZLO ,,~,\t.t ~\,'" ,\\:~ ' ".:.~~ .', ,-..y"U .\":it~'I:t~N'l 225 FIFl'II STREET <J.i>\I(~-rj$'II'i> . SPRINGFIELD OREGON 97477 ,,,,~.{t!J'i:l~,jll , , . ~~-o;~. ~.\~.~ INSPECTION REQUEST: ~~~~t.49'\~'" OFFICE: 726-3759 ~t'\1\'i"t' ~o .:tQJ2l" ~... , !4<U>' _"T-Y"I 1. LOCAT~ OF INSTALLATIilN 'k -1.O;1S'~. !\1Qrno I \/..~ , C>"w..... <:).'0,.- LEGAL DESCRIPTION ~' 17"'~.27'~-;Z_ L),,?.€t>c,' City Job Number q :<,,-.--.......Z JOB DESCRIPTION ...>l.\.QJ\.l~H.J (lnOJn~ ' 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 B. Electrical Contractor Q,1 S fi1l'tJ\.uI \ aIM.>, Address P.D. ~ /4'XL I Ci ty~ . Phone..1i1...::.i 1.3!n superv~sor L~~ense Number 110 g (.., S, ' Expiration Date /0 - 1- q 1-... Constr Contr. Number () '3 24~ Expiration Date q -I-q~ Signature of Supervising Electrician C~~_-Y'Lr?'7~~ Owners Nanie3AQ/'(\f\.!..AU P-tiLJ Address_lll55 ~i\JJll1Ll Ci ty~~ rt, Phone.:11.l:, - '7~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~~~:~;:~~----- DATE: . /-"'2- "j1 " RECEIPT II: ~ l-/ n. RECEIVED BY: /;(: ," _ -z -F New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less ,Each additional 500 .q. 'ft or portion thereof Each Manuf'd Home or Modular Dwelling ,Service or Feeder , Services or Feeders 'Installation, Alterations or Relocation: 200 amps or less --L-- 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. unit. Cost Sum , $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50,00 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" above New, Alteration or Extension Per Panel One Circuit 'Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res LiinitedEnergy'tComm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5'0,00 ~.5o 5~J.. ~o