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HomeMy WebLinkAboutPermit Electrical 1992-9-22 SPJIINGFIELO ~ I~"( o ~"'" 0 U"'~ . b~\\\e '~iC \3.(\ s S\l ""ecl . eC\ a: Ui(0 "''<' 225 FIFTH STREET -r.'" \Q\\Q'.Ni~9 :~~~ ~iO\ teo. ELECTRICAL P'ERHIT APPLICATION SPRINGFIELD, OREGON 97 4?(7.\\('};:,~\i .(... D a..... _______ INSPECTION REQUEST: 72J~.-;?3~169 ('\\f\g~----" ~. ~ Job Number CJ 6) I 's ~ L( OFFICE: 726-3759 1.00\\ \ofY.' . ,Q75J ~.COHPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLA'Pl'O~c.VJi\$\\.1,e:. l g 11 Q. ~+-\ ;,,\.\~00(\1.e' ~ LEGAL DESCRIPTION I,D:) d~;;).L( ()~LnD JOB D1SCRIPTION 0 . \ iY\,Qi'f\ ~) } .1Jti1g}J)J .-' :lOIY.tlflMnI\.L~ Permits are non-transferable and ~xpire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor cks ~j\. ~\ j I Address p. O. W It...,g~ Ci ty~ IUffi~~~ d ) Phone -2iL::.~.1 b Supervisor LICenSe Number 1 ~ g ,=>S Expiration Date lo-{-9~ Constr Contr. Number 03 g4q Expiration Date q -I -1.3 Signature of Supervising Electrician r;:!2~/C/~. D Owners Name C~8..o..J\.tl.1J~. Address 34~I~L~~1{\Dru~~'I~.P-'1 Ci ty (\ M Ut m I ~) Phone q ~Io - 7131 OVNER INSTA~LATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT #: RECEIVED DY: q J"J '). 1'1 '"). I" J.'r I \X)8 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporarv Services or Feeders Installation, Alteration or Relocation 200 amp~ or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 40.00 $ 55.00 - $ 80.00 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One.Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Mis~eil~neous (Service/feeder not included) -~ach installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00' Limi~ed Energy/Res $ 20.00 Limited' Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 40.00 ~.oo 4a..oo