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HomeMy WebLinkAboutPermit Electrical 1993-1-11 $. "I IIt.u.;.r: It;.LU 1 .:n':'~"i:1g j:':r:;""'-:t ":~ !"-ubr(l;"1~ h:~ the folk",~,'ki~t z..!"uy, ar.d do:; I -vi ,'L..:jUI.;;; .....J....:.:.:.= lilnd use Ctpproval. 225 FIFTH STREET l () SPRINGFIELD, OREGON 97477 Zonin~ n \<-., INSPECTION REQUEST: 7g9.o37691- LL -9~ . OFFICE: 726-3759 . C- . Authorized Signalure , ) ~ roltPII>'I'J> FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION /I JS-T'Of-.<Dcf'ZDSt'l- .} ( '7(~D!JYJ~~~ 113aJ JOB DESCRIPTION ("'''A.~ V~IIc..,,<,- S""~,-: I~ >""t,,-, / Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor fl1~1 Address IS-o t 9. <.r- I Ci ty t:. ~"';"JL'-<' Phone ~ e) Supervisor License Number &5 Z. .3 u=: Expiration Date /I? ../ - q" Constr Contr. Number 5""1q-/'-f Expiration Date 0/-2.<;-7'> Signature of Supervising Electrician q2.p:ijf......J Ovners Name /), /"".. ~ 7)",_..//7-/ Address <) c:<.-~ City Phone OVNER INSTALLATION "The installation is being made on property I ovn vhich is not intended for sale, lease or rent. ~) Ovners Signature: ~~;~~-----;:~ -~-~------------- RECEI PT 1I: <...:, Il ' J /'(.../; RECEIVED DY(' llr J~ A. Nev Residential-Single or Multi~Family per dvelling unit. Service Included: Items Cos t Sum 1000 sq.ft. or less" Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders. Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 "D" .above D. Branch Circuits Nev. Alteration or Extension Per Panel One Circui t Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Hi scellaneous (Service/feeder not i ncl uded) -Each installation Pump or irrigation $ 40.00 Sign/Outline Li~hting $ 40.00 ~ited Energy/R~ lc $ 20.00 -Zo,= Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAL - .!..)/OU