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HomeMy WebLinkAboutPermit Electrical 1993-4-2 . SPR_FIELD Tt'Q 1.....1"..1..." nu';.... t . _ Z~'" -', r .,"I;::'~, :c:a~ S~bry1!ttOd has the f II '.. . 225 FIITn STREET C: ,'0",'. . a.. ..e, r_~L:rJ c;1:cmc bod u~oWIE1.ECTRICAL PERKIT APPLICATION SPRINGFIELD, OREGON 97477 _ , /l 'IT\'::>:-O INSPECTION JffiQUEST: 726-3769~_ltJ~ Ci ty Job Number Il../I.....l...-L J...)' 'J OFFICE: 726-3759 C. ,) ,-/:-'1.-9 'S , ~ - - 3. COMPLETE FEE SCHEDULE BELOIl 1. LOc.u';ION OF INSTtLllATlliNignature~ "1 '6(,. '51",,& ~ {) VI... ' A--;--New-Res.idential-Single or . .' 122)70 I'1pgJ Multi-Family per'd~elling unit. LEVAL~DESCRIPTION C:I/, Service Included: ~"'--,./l C: rI() I terns Cos t ~ \ - JOB DESCRIPTION .... " r J ~~'^-! ~ . II \ Permits are non-transferable and expire if ~ork is not started ~ithin 180 days of issuance or if work is suspended for 180 days. .. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ('f/tW\~<< wdn-1L... Address (7,0, I/!,o'/o.. '2. G,L( \ City w-c.-\..kvJ; Il.( Phone 74l{--o'1d') Supervisor License Number 36" - S Expiration Date IO('O/qt...(.,. 'L- Constr Contr. Number_ 2o-z..cr'1C EXPi~ation Date~~ SL of C;~ Electrician Owners Name K-e..v A\~ vi} Address '1l;(P <;~otkJlt.w O~ City 7r~ Phone /(1(- ~Id' OllNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~ers Signature: DATE~-------~-\T\-,~--=-------- RECEli'i ii: ~_ _ l't'h ~ RECEIVED BY: (_ lY.'A / , . 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: 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 Sum $ 85.00 $ 15.00 $ 40.00 $ 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 voLts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above Ne~, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit I Each Additional Circuit or ~ith Service or Feeder Permit E. 5,. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' $ 35.00 ( $ .2.00. not included) $ 40.00 $ 40.00 $ 20.00 $ 36'd:) AS. 1.'1'/ ~ 1,(1 .r)~ "