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HomeMy WebLinkAboutPermit Electrical 1992-9-16 (2) 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 "Zonin~ OFFICE: 726-3759 "',t"_..:'~I.(P_\cO 1. LOCATION OF INSTALLATION'tr.or!zect Signature_~~ f)2~7--fFM517J1:.lA A. LEGAL DESCRIPTION /:fh::)z. 04 2./ fJ 5ee-eJ JOB DESCRIPTION J:;;}./r/-n~J ,~cJ4 .j EN77k( 1)i!i::I<- Permits are non~transferab1e 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 ~~,,-tJ ~~ , Address 34/-10 EL MA-,()/'>>e Ci ty /=viUbf. JE- Phone.:7d...4 - t9tP /9 Supervisor License Number ~/~ ~ . Expiration. Date /19/1 q.2- Constr Contr. Num,ber ~~'71- Expiration Date ~J.2.y7:.~ Signature of Supervising Electrician ~1Pf_A ~ o Owners Name].>"l.to~A IUJ~lWnODj) Address City Phone OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~----------~;;'~;;~S7-Z=---------- RECEIPT #: ,h?-CJ~ RECEIVED BY: ..:1'?~ SI.fIlNGt:'ICLU Ci ty Job Number q 2/7~/ ~ COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: 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 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. Te~po~ary 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' "B1I above New, Alteration or Extension Per Panel One Circui t ~ $ 35.00 .35....t9<J Each Additional Circuit or with Service or Feeder Permit / $ 2.00 2-~P E. Miscelhineous '(Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/au tlineLigh ting $ 40.00 Limited Energy/Res $ 20.00 Limited. Energy/Comm $ '36~00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL !fj,!! -. - ~_~'1:: 370-0 1.905'"_ -3~.~S"