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HomeMy WebLinkAboutPermit Electrical 1993-4-9 . . .j'/} "'\~' " ..J' .-' - ., ~\O'" ,"-~ I(Y.............. 225 FIPTH STREET ~"~,:~Il'"(''''' ~\l-' ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97'47(1.0.'0.\' ~ > ~ , INSPECTION JtBOUBST: 726_3769'l'\l''''''1~). ~~ City Job Number .q':?.c.:><V'~ OFFICE: 726-3759 If I:J' ~ 0 " , <;),,.\G/" e"I?"\>>' 3. COMPLETE FEE SCHEDULE BELOII 1. ,LOCATION OF INSTALLATIONo.;~0o '" 7$h W ;-2V/pJiJ";-;;-' A. New Residential-Single or . Multi-Family per'dwelling unit. Service Included: LEGAL DESCRIPTION -'-7-C;":!-:Z7~'C3_ ~3/Y . . JOB DESCRIPY!,ON -5~WYG ~ 6",.:;7~c-;r:- Permits are non-transferable and expire if work is not started within IBO days of issuance or if work is suspended for 1BO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone .. Supervisor License Number Expiration Date Constr Contr. Number --' :~ " Expiration Date Signature of Supervising Electrician Owners Name {V!P."JAJ(_~ vJ:ll.'t'lM '$&1'1' Address \~e-'l~Co VJtt.<;7&u:tJJJLT. City ,s,D j2. L.-D Phone 14- '{ - ?>q e If. \ OIINER INSTALLATION The installation is beiog made on property I own which is not intended for sale, lease or rent. Owners Signature~ i~-~-q-~----~------------- RECEIPT I:~?c,/ RECEIVED BY: /7__ '/. ., Items Cost Sum 1000 sq.ft. or less $ B5.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 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&::> 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 D. Branch Circuits $ 40.00 $ 55.00 $ BO.OO volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ .2.00 . Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' not included) $ $ $ $ q-'~ ~ 40.00 40.00 20.00 36.00 p "2...-~-- W? _ a-e> ,