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HomeMy WebLinkAboutPermit Electrical 1992-11-20 ~,A". . 'act as "ubmltted has the followIng ~ If The following pro) '"' If land yse ~ 225 FIFTH ~;TREET zoning, and does not requIre opec Ie I~LECTRICAL P'ERMIT APPLICATION SPIUNGFIELD, OHEGON 97',1'1 approval. MlJ () () J / _1lCt INSPECTION REQUI~ST: 726-37,.69 ZOI',.iI1SJrA. 'u \ Ci ty Job Number VI (J) l.t/~I OFFICE: 726-3759 r\!llJ I-Id€_-t-\ - cA\ COMPLETE FEE SCnEDULE nELO\l 1. LOCATION OF INSTALLATI~ijlhor~ed SignatUfS \J~______J..R:JllSP.h~ \L-.(2, w'(!;'+ Q S+ A. New Residential-Single or Hu1ti-Family per dwelling unit. Service Included: ~f~~~~~r~1SC~ION 17b3~1 /!)d31()! Jon DESCRIPTION Tev-.""'+ r~.nYOvt"'W\(",-J- Pcrmit~ are non-transferable and expire if work is not started within 100 days of issuance or if work is suspended for 100 days. 2. CONTRACTOR INSTALl.ATION ONLY B. Elcc t rieal Con t rile tor Ll\>'\k EII"c..4.-"'fL :I",c- Address 3bbZ-G::> C<d....- t+.."S Ci ty ~\.<t\&t\-,+- fl..., 1 Phone 7z&-o",S-1 Supervisor License Number 3Lt 42S Expiration Date IT:) I 01 J qS;- C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number gYlo7 q Expiration Date 7 -1'-/- q.s Signature of Supervising Electrician ~~ J:- crd= Items 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: Cost Sum $ 05.00 $ 15.00 $ 40.00 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts ~ D. Branch Circuits O\lners Name BrA.\:'~^""" ($", V'~-d + .::r-'i\V"~~"\i:s Address 10 f) W-C~+ Q .s+- C1 ty -.SfV';~~-e(rl Or Phone 7i-f7~b3cY O\lNER INSTALLATION .l ; .j .; I :.1 I :j 4 :j ~ l The installation is being made on property I own \lhich is not intended for sale, lease or rent. Ovncrs Signature: ;~~~~--~-r ~:;qO ---q-{j;~------------- . . r ~ ~~~~~ ~.t;() # J:\ y :~(y~~____ .________ $ 40.00 $ 55.00 $ 80.00 see "nil above New, Alteration or Extension Per Panel I 35. o__c..J $ 35.00 One Ci.t-cui t Each Additional Circuit or with Service or Feeder Permit 4 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limit~d Energy/Com~ 5. . . , .. SUDTOTAL OF ADOVE 5% State Surcharge TOTAL J $ 2.00 gq:!... not included) $ 40.00 $ 40.00 $ 20.00 $36.00 t..\~ \)~ 2!.2- 4 'C\ !S-