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HomeMy WebLinkAboutPermit Electrical 1992-4-24 SI.IIINCr-IELO 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LqcATION OF INSTALLATI9N (O)~() r--PiI~ L~Q'/A_ LEGAL DESCRlPTIO~Z/r ~ ('?,()7~Lh 17 CJ 'TCl3 ~i~~~ON ~ (l A'vev)-J3. 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 B. Electrical Contractor ~(jj1AfYL 13-ed-- Address S1;: :::f!f.o J/>fflp 12A::'rlwvvt ~ Ci ty ?fA d Phone -74-7-bt8j ~ ~C' Supervisor License Number? / /1 ...) Expiration Date lO ~ [ -0; 1_ Gonstr Contr. Number 7 0~7) Expiration Date q -q --1'2 Signllmp ~ Ovners Name ,.JjM\.1)u..(l.e! Address (t? 7_ V F-eI--V1. ~ Ci ty V'f d Phone:11:.7 ~ FEf OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~;~------[[~~~~--------------- RECEI;; ii: Li iJ ~ RECEIVED ny: /U A-t..\A.O City Job Number 3. COMPLETE FEE SCHEDULE BELOV . , . Nev Residential-Single or Multi-Family per dvelling unit. Service Included: A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder 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 Items 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 "Bit above Nev, Alteration or Extension Per Panel One Circui t $ 35. 00 3t7.~ Each Additional Circuit or vith Service or Feeder Permit ~~ $ 2.00 ~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?Yi .cj) I t1 [J I./I?ql'=,