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HomeMy WebLinkAboutPermit Electrical 1991-10-2 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION .fo;2.Z ~€.tL/A LEGAL DESCRIPTION I?/JZ- _~/ 44 ~/~3.3 JOB DESCRIPTION ' ~. Ai}/Ju , (~/L'f .Rht:J 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 Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name, ~~ S;; ~ M / / A"_ '-l/~1 Address City Phone. OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ~i~?;;~~;~n ,-,V ----------~----------7--~-------------- DATE: /6J -2 -7'1 RECEIPT i: 2. / 4 go ~CEIVED BY: ~~. _,0 City Job Number CZ/L12 / 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 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 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D.Branch Circuits New, Alteration or Extension Per Panel , One Circuit ~ 35.00 ,~~~ Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. -SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~ 5 ,00 /.75 =<~ 7> ~ ,"':3 5~ 6!:' -- -'1~~