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HomeMy WebLinkAboutPermit Electrical 1991-6-4 225 FIFTH STREET' 'SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. L~A'U9r! ~p I, NS~pN ' ,/1 /} ,-\ n '-~ ) L.J l ro j\J.l J (,.fuLlY A. , jJLE~~'mucf2fN (b8400 "d~(fft' per~are non~~~erableand expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor Ll \1QO~ FJ~(~ t s't S\t ~<l) d-Jdl ~ 3 t.J J..3 S , l1llib ~ Constr Contr. Number /){~- d~q ( Expiration Date /(0/(1/' Address 1r~, u..~ I , ,~i,ty 'f'(l8~e ,Phone Supervisor License Number " Expiration Date Sign ,a,ture ,Of. supervi[j)ng,lectrician "~",,, 'l,' . " " ) . . ~ ' :r . '" .., .. , Owners Name' " ' .~ , ' .' Address' City Phone OVNER INSTALLATION The installation is being, made on property I .own which is not intended , for sale, lease or rent. Owners Signature: ~~~~:';-~~o~ (9).- SPFlINGFIELD I ELECTRICAL PERMIT APPLICATION City Job 'Number ,ql(){~ 3. COMPLETE PEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service ,Included: Items Cost Sum 1500 sq~ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 .t1 $ 35.00 .,~ ' jServic~s or feeders (10 ,Branch C~rcuits included). Installation, Alterations or Relocation: 100.amps.or less 101 amps to 400 amps 401 amps to 600 amps 601' amps to 1000 amps Over 1000 amps/volts Reconnect Only ~ ) $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 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 $ 35.00 $ 40.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit ,Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel $ 36.00 SUBTOTAL OF ABOVE QJ~c) ~.. ~S 5% State Surcharge J ; r 1 ""\ TOTAL C~I.o..rJ. ): $ 36.00 $ 36.00 5.