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HomeMy WebLinkAboutPermit Electrical 1991-7-18 SPfllNGFIELD 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~7-5 ..::;-- ~ -5/ . LEGAL DESCRIPTION /?-vP"5 -55' -<:>c. .<'__ f;:;>cs C/ JOB DESCRIPTION t:; -.::::?~ A- ~A'/L~ .-<)~v./...--&~ 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 ~/L/~""'" 5. Address '2q'?! ~......-~....g- Ci ty EI.A;~uE:hfE Phone 7"k.,~ ~;;::5 Number ~.. ,;-'7-L Supervisor License Expiration Date /.::::>--/-92- Constr Contr. Number 0';<'29.6 Expiration Date/:<-/6 ~/ :ign~ s~ectrician (J . n . Owners Name~ lthO~ -lj.{lDt c0.r J Address.3("f\ \ \ 1\1 Prr\ ~~ ) Cit~,~ Phone .- mINER INSTALa.:Jffrf{ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: "7"/g~/ RECEIPT II: ::::2'0:/"7/ RECEIVED BY: ............ ~ '" City Job Number q/<f:JB''7'T 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. it 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 ~ $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circui t Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL :::?c:>c> =:> /~, "'?7 '?/ s:.<:sc>