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HomeMy WebLinkAboutPermit Electrical 1991-9-9 .' .. ~",~,-.~.:t',.'r""'),"'?::"""""Yh~;i:'~!~~~~~Y}~h . . ~ . 225 FIFTH STREET jfh:s"~~-""--;"' .' <,~'iO ..,;:",..:~f,,~:\~,,;'~ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9741;1::-::':.'~"" . (\(\",'""), . INSPECTION REQUEST: 726~3769. ~._~_,,-"'~= Ci tyJob Number q t} / 3',cO OFFICE: 726-3759 .'. , ':"._'~ - . e.'; ,q E\,:~ \. ~ . ,COMPLETE FEE. SCHEDULE BELOV 1. LOCATION OF 'INSTALLAI:ro~ ,..., 2:';;i:::'"~:r[;-'..1.l~.,..-== ..-"-'"'-- . ~ ~ W. CF"~ ~#/~c A. New Residential-Single or Multi~Family per dwelling unit. LEGAL.DESCRIPTION Service Included: 17-~3.2?-$"'3_ "'~ Items Cost Sum ~; JOB DESCRIPTION ~/~? ~e-c-/'" '" 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, ~~~7'"'........v ~. Address ?t::?-,~ "3?G'~ Ci ty ~C41f'E;Y~, Phone ~y::<' IX~ Supervisor License Number 431 sr Expiration pate /0/' /Cf3 Constr Contr. Number ~Lj~ J~' Expiration Date 31q /1~ Signa ture of Supervising Elec trician . ~J- f (Y}~./~ D. Owners Nanie~r~#~ C~~....'~ Address~ ~~. \ ?,QPJ . . - I" ti-,- City n l)t~ j Phone J;;I}-qld) \ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~----C1~L1-~t----~~~---~--------- RECEIPT #: k-\I A/~L~U RECEIVED BY: l rzJV'-Z~ 1000 sq.ft. or less . Each addi tional. 500 sq. ft or portion thereo.f Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $'15.00 $ 40.00 B. Services or Feeders Installation, Alteritions 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 Branch Circuits New,Alteration or Ext~nsion Per Panel One Ci.rcuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ . 2. 00 E. Miscellaneous (Service/feeder not included) ~Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting -- $ 40.00 Y4? . Limited Energy/Res $ 20;00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State.Surcharge TOTAL up. c<:> 7 . '<, ...-e;. ~<. .........:- ~