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HomeMy WebLinkAboutPermit Electrical 1991-9-3 SPII:NGrlL:LD~_,..__,.,._ _,'.',. .,-Riili'I ~ -:- .- :-~~~ tJ, ELECTRICAL PERMIT APPLICATION CIty Job Number 9/~25"Z. 3. COMPLETE FEE SCHEDULE BELOII 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 726-3769 1. LOCATION OF INSTALLATION 2653 Centennla 1 LEGAL DESCRIPTION JOB DESCRIPTION Servlce chanqe 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 I R Brabham, Inc ElectrIcal Contracto~ Address 68 Wes t "Q" St , City Sprlngfle1d Phone 747-6638 1473S SuperVIsor License Number ExpiratIon Date 10/1/92 Constr Contr. Number 8699 12/18/91 ExpIration Date Signature of ~,-J \:7,,/, Owners Name Supervising Electrician /~~~ Jane Blge10w 2653 Centennl a 1 Address CIty Sprl ngfl e 1 d Phone 741-0438 O\INER INSTALLATION The InstallatIon IS beIng made on property I own WhICh IS not Intended for sale, lease or rent Owners Signature: DATE: RECEIPT 11: RECEIVED BY: '-]-7/" 2// r/; )- /(J~ A. New ReSIdential-Single or Multi-FamIly per dwellIng unIt SerVIce Included: It ems Cost Sum 1000 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 $ 40 00 B. Services or Feeders InstallatIon, Alterations or Reloca tIon: 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 1 $ 50.00 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 $ 40.00 $ 55.00 $ 80 00 volts see "B" above D. Branch CIrCUIts New, Alteration or Extension Per Panel One CIrcuit Each AddItIonal CltCUlt or WIth SerVIce or Feeder PermIt $ 35 00 $ 2 00 E. MIscellaneous (ServIce/feeder not Included) -Each InstallatIon Pump or IrrIgatlon $ 40 00 SIgn/OutlIne Llghtlng $ 40 00 LImIted Energy/Res $ 20.00 LImIted Energy/Comm $ 36 00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 50,00 2 50 52 50