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Home My WebLink AboutPermit Electrical 1992-1-30 \\"\9 \0\\0 .a.. ~rr\\~.3d .~fi~~~d US!) ~f . .,.')$1.1.. . acj\C 1... .. 225 FIFTH STREET -:'., '. """"':'.,:;.:;';~Zt';'"'~u\(O r.p ELECTRICAL P'RRKIT APPLICATION SPRINGFIELD, OREGON 97477,', ~,y~'.... ~~ q II /If)-:::z.. INSPECTION REQUEST: 726-3769 ",: ..~, .,. _ . . Ci ty Job Number rl '-..,) OFFICE: 726-3759 p,u;7'.., . " .. ,..\:~--3. ~." gC""HEDULE BELOV 1.( LOAT~ON 9P,l~~IOr{ ," .".,},",c__ o IS I ........'"')'('~ y~ Qt.dUI'C;/ A. New Residential-Single or .. Multi-Family per dwelling uni t. Service Included: 11~~9f!Izr03rfO p,",::~.-,::. ".bl, ,., ,.pl" if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL~VON ONLY Electrical Contractor (f"\til~l~ Address Rt fU LL'). c94 Ci tY?..Dqifi 0.. ;hone (0. q -I~ Supervisor License Number C14~ S Expiration Date In. ( .q ~ Constr Contr. Number l~\ 3'1 Expiration Date l;:) .A'I.q~ ~'-';I/~"Z:El"'dd~ / o)ne~:-Z-- Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~~~----~?=~~~-~~ ---------- RECEIPT 1I:_~ I, /,', ,......lp\\ RECEIVED BY:-.. r-:::i/LlK I ~ 1000 sq.ft. or less' Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: B'. 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 C. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Ci rcui ts $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel ~ $ 35.00 3S Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting----- Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. s. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \~ S .00 ( , "...... ,'-'>(0 .'~ 225 FIFTH STREET , ~~c,.,. ,~o,'~ ~~~~~~~:;>RE~~~~ 9~;~~:h6; ,...,;:..;,..:;_:,~~\\ City Job Number OFFICE: 726-3759 \ ~ 1. L~TION V' INS.T(l.LLAT~li .' '\;.:{t3:~~~~O~FEE SCHEDULE BELOV LOa \ OC'f}tr~ b.\.:Q'X\...;J~::;~w Residential-Single or Multi-Family per dwelling unit. Service Included: ;\...~...",.... 'l~~Q~Mn~LP{YJ qOB ~f~N rp ~e~mi~s~re 'nl~tran~~~~an~xPi:e if work is nol:itarted within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name ~D V Q 0 A\JL~ ,D. Address ( q~ \ . ,~(' n~ r-:; J ~ Ci ty ~) Let Phone~J - g711 OVNER }NsiALLATION The installation is being made on property I own which is not intended for sale, lease or rent. d7f. J&~ ~~~;~-----r::;!7q - LIQ:~---~---~--~-- RECEIPT II': ll. '_ .....~lo I "'" - RECEIVED BY: (~ f.../ U , - Items Cost Sum 1000 sq.ft. or less' Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling c '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. 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above Branch Circuits E. New, Alteration or Extension Per Panel One Circui t I $ 35.00 r...-n Each Additional --f- Circuit or with Servi5e_ or Feeder Permit -t~ $ 2.00 ~ Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited EnergY/C~mm '\ ~ 36.00 SUBTOTAL OF ABO ~.OO [::I5.cO 5% State Surcha e . . '7-.",,\ T08: ..'3,cr: Ie!;) . rJ . ' H:'S 3LO 5.