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HomeMy WebLinkAboutPermit Electrical 1992-1-3 (2) .o\\<tlt.r.1 225 FIITH STREET _.<':;;'S;) SPRINGFIELD,"OREGON '97477, ",.,;~'O-,~;;:,c'/ ,.,,~. ,"",;J' INSPECTION REQUEST: 726-3769,_'n:"'I"C-,~;::'.;,,~:; OFFICE: 726"':3759. '^~:;;;~::">';~."Rd '\0"" ,"," ~ " c ",c, ~,;';..'). ~ 3 1. ' LOCATION OF INS~r:;JI;iiON_<:I 0l'i, \.\ . <:;,2 9/ r<>rsn~." -.;.Q'\\';;{:, V) ~J-~ , ' \ -:;:..-Y .~\" - , LEGAL DESCRIPTION }0r~0~oS\'d{lf>.~., fIV/o~.'((' ;.L~~ {-.a-GoP1J ...... JOB DESCRIPTION Permit~ 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 Electrical Contractor,d?,k-.-<.,:, eu~/{.~~v.i!1'- Ad(\ress ~,6..)", /(/ City WcJf.....<J;((.., Phone -'7<1(... <fa <(I Supervisor License Number '53'7C S Expiration Date /Q-/.<;-z.-. Constr Contr. Number~ {;50.::,5" Expiration Date 3-/3-9"3 Signature of Supervising Electrician ~(J 6/~_~~r!.. . Owners Name &c. ;!;,,>,,-_ Address 5';::;>5'/ h('5it J~ c4 7;"~r Ci ty JP,', :....;[.''''r.o Phone '7<1"7/J "<<'7_ OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~~wners Signature: ~A~;~------r--.~--~~-~~-------~~~--~ RECEIPT II:L.~! -.:1J. I~(O{{ /) {~\ RECEIVED nY:~ll_ . / ' Ci ty Job Number FEE 'SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or ,less Each'additional 500 sq. 'ft ,or portion thereof Each Manuf'd Home or Modular ,Dwelling Service or 'Feeder B. Services or Feeders Installation, Alterations Relocation: J. unit. Cost Sum $ 85.00 $ 15.00 $ 40.00 200 amps or less, 201 amps ,to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only or. $ 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 fiB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Liniited Energy/Comm One Ci-rcui t Each Additional 'Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 no t i neluded) $ 40.00 $ 40.00 $ 20.00 $ 36.00 4D~? C:/.. . u~ 4 bI ,uU