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HomeMy WebLinkAboutPermit Electrical 1994-12-1 (2) . . 225 FIFTH STREET ( . . SPRINGFIELD, OREGON 97477, ;,::,,109 INSPECrION REQUEST: 726-3769 OFFI~"'86-~~ . 1. ~ON OP:.c~?C_'~;('V~' , LEGAL DESCRIPTION /707/S2n) oo7ov Wi:OSt c)/O JOB DESCRIPTIO!!. Jh"R-c.-p ~Jt-;'c.-< r/2-9det::.. I'. . . ". ~, Permits are non-transferable and ex~tre if work is not startedwithiri 180 days .of issuance or if work is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY B. Electrical Contractor L 'H' VW-Oltf?,"i,. d"",t Address 4X''1 ~HE:u.G'1 ( rrz- City_<;fF/? Phone '747-otll . Supervisor Licen.se Number ~ 00 b - S Expiration Date /0-/ - '7'S Constr Contr. Number 0/ S>3<? Expi'ration Date ,6 ~ ~,... <[ S , #~ oa:::;r Eke."'''' owners Na,me :;;'7J,^c~ pl~" c.... , . " Address J(,()n . H'EclJTlutE: P/(t.J~ City~(,ez.v2Phone1l(4- f{~ <J ' OWER INSTALLATION The installatioilisbeirig made on property,! own.vhi~h is not intended for s8.l,e, 'lease or rent. 'Ovn~rs Si~ture: DATE: ~. 18'{''f~..-_~) RECEIPT, I: " "/1 _ . ' ...1, ,."\',J.Jif RECEIVED BY: VJV\....-/; " , ' City Job NUlDber "I _ {:nMPI11T&-FBE SCHEDULE BEWV A. New Residential-Single or Multi~Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof, $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 3 $ 50.00 150 201 amps to 400 amps " $ 60.00 1,,0 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 D.. Branch Circuits $ 40.00 $ 55.00 $ 80.00 ,volts..see "B" above New, Alteration or Extension Per Panel .. .. One Circuit ,Each Additional . Circuifor wJth Service, . or Feeder Permit . $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation rump or. irr!gation~ $ '40.00 Sign/Outline Lighting $ 40.00 LAmited,EnergylRes ~ .20.00 Linii ted, Energy/Comm $ ,36; 60 5.. SUBTOTAL OP"ABOVE 5X'StateSurcharge TOTfJ., ' .', , ~ . .' - . ~,., '. '. .' -\- ~Oln ,MM-'(\ H>:E' ,2/0 o~ /D lU/-' ~. '3...2--' ?~" ~