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HomeMy WebLinkAboutPermit Electrical 1993-4-7 \)~~ '.',," V.;/ ,~,'" .<,/- -r 974ft -:..)"1 \"1), "'1' 726-3769 /)( \/ - ,,<0 \ -/'" ~..(\J,\: " ~./ SJ\'d ,J eo' ...;\\1,.; 1. LOCATION OF INSTALLATION"" /;;;>tfi- 1'''" lA-I.,.. . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 LEGAL DESCRIPTION /?118 zt'b ~ / //;. z c;rP JOB DESCRIPTION \tol!.rAtL MlW."., PA>JQ.t ~C'.J("c",,\~~ .>) t,""6d,,_\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Kltll~"" i Sc...s bL~IL Address 3'ZZ.) c~u((~_(U... City I="....~~"..... Phone !,fK'I7f') Supervisor Licen_se Number 38"03.C; Expiration Date 10/0'/9, .. :..:..- Constr Contr. Number,7t?))9 Expiration Date 1~3~1 Signature of Supervising Electrician ,,8?y ~iJ 01lllers Name Uf-I:PY Ln-nc;/:x;.12 'i Address tZI Y ~/l City ~r,C-t.O Phone OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. OWners Signature: ~~~::-:~-----~~~~~----------- RECEIVED BY: .or'~ -..... .,)~..\\~ c - . \ ,. ~ .). \\'iJC ,.,\ . SPRINGFIELD Ci ty Job Number 9~~z..B~ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq,ft. or less $ 85.00 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 I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 ~t?O $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" 4ZJfFO above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit -S $ 35.00 Each Additional Circuit or with Service or Feeder Permit ~ $ 2.00 ~~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00, , 5. SUBTOTAL OF ABOVE -1.1 f'J. Ot:> 5% State Surcharge ~JS-o TOTAL ' /1 C :H::L , , ...... I 'I