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HomeMy WebLinkAboutPermit Electrical 1993-3-15 971,77 Mi>/C 726-376~) _.--- : 'r 2.::.-'L~ /,. JI2# _~~,<,,~Q1lr.,k~~, PEE SCIIEDULE BELOY LOCATION O~INSTALLATION . /~ I " 57, - tAtnlbRV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 225 FIFTH STREET SPIUNGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LEGAL DESCRIPTION 1'703 2h I J/t)3GoO JOB DESCRIPTION tAtlJJ IJ R Y /(01) M.S 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 INSTALl.ATION ONLY Electrical contractor.LiuJJs E'U:::;.GTJUL Address {;6, Bt::nJ- A Ci ty FAu..- (' JR.t:t:::./( Phone 72"'" 7~5 Supervisor License Number :;i3S7 S I Expiration Date 1"-/- 95 Cons t I' Con t r. Numbe r ;)3/~ I City Job Number 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwellirig Service or Feeder Items 911L/LJ7 Cost Sum $ 85.00 $ 15.00 $ 1,0.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits B. 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 5'0.. QO C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 1"-5-9..3 Signature of Supervising Electrician o~~ ?~ Address Ci ty Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT #: ItECETVED BY: ?'l:5-:3 "3 ~~. volts . $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service 3.J,~ or Feeder Permit -I' $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Com~ E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOT AI. not included) $ $ $ $ ~;;.~ _ L/.~ 1~~'~ 40.00 40.00 20.00 36.00