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HomeMy WebLinkAboutPermit Electrical 1991-8-12 ~ 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: , 726-3759 i.. LOCATION OF INSTALLATI~ / 7t;75Ce..NleN / Z!.- ' LEGAL DESCRIPTION 17-~'3~-:<C-Y-:r O.!E/~ JOB DESCRIPTION Re.LtCA TfL CiJ.-cc.(:tTS. Permits are non-transferable and expire if workis'not started within 180 days of issuance or if work is, suspen~ed for 180 days. 2. CONTRACTOR INSTALLATI9N ONLY Electrical Contractor Address . .<6 ~rzt)-O Ci ty 4/' -F 01 ).. 1fJ,-,t e-:e;. J/1/f.l4rC" '4 ~/ Phone ../72-.6 - ,~ q ? , . Supervisor License Number '2 ~ --> Expiration Da'te 1-0. - / - 7 2- Constr Contr. Number '3 V ~ e 7 Expiration Date. 3"/Z~ / g.~ I Signature of Supervising Electrician ,-C."" ~ . ,/ D. Owners Name-L2.p A/N; ~ tfl/i 6'1LK.' Address City Phone . mINER INS:I'ALLATION. The installation is being made on prope~ty I' own which is n6t iritended fQr sale, lease or rent. ELECTRICALPERHIT APPLI~ATION Ci ty Job Number. 9 / ~ 93C;; 3. .COHPLETE FEE SCHEDULE BELOV A. New Residential-Single ot Multi-Family per dwelling unit. Service Included: 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Items . 'Cost Sum $ 85.00 $ 15.00 $ 35.00 Services or Feeders (lOBranch CirciJi ts. included). Installation, Alterations or.Relocation: 5. ' SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 60.00 $ 90.00 $130.00 $300,00 $ 35.00 C. Temporary Services or Feeders 'Installation, Alteration or Relocation $ 35.00 $ 40.00 $ 80.00 see "B" above New, !lteration or Extension Per Panel ~. $ 35.00 ?~".~ $,50.00 ' t( ~..".~ $ ,i-S.OO . & .s-c> '- 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 200, amps or less.' 201 amps to 400 amps Over 401 to' 600 amps' Over 600 amps or:1000volts Branch Circuits One Circuit , , . Two to -ten. Circuits Each Addt'l ten e~ pertioc . ."Qreef E. Miscellaneous (Service/feed~r not inclUded) -Each installation ' Pump or irrigation' $ 36.00 Sign/butline Lighting $ 36.00, Signal, Circuit or limited energy panel $ 36.00 Ovners Signature: --------------------------------------- DATE: ,B- / =:? -~/ RECEIPT 4: -==?~9 7t:;;; ___ " RECEIVED BY:~ L___~_" ~~_......------, .,?- v/".. L/ 1>. cn:> .. - ./~ ~:/~