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HomeMy WebLinkAboutPermit Electrical 1991-12-4 S....INCt=II.:.LD 225 FIITH STREET . , SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 L LOCATI~t OF W~TALLATION ......p ;). ~ 0, U i.!)/'u HA P, r6.Y1 ) LEGAL DESCRIPTION . n{)~ 'd"1I'::l' O-;JL/i)n JOB~ESCRIPTION 11 lArJ,1, IS L.ul/'./ k'JLy 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 Contr~ctor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name Px.~ 1_J..')(1(')r.P^M~ D. Address '::14.2J CY.UV\A J-U.J, 1;.:) CitY~rl. Phone ilfl-, '9.jq, OVNER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. ~~~:;;:/~~ ~'7'-------------------------------------- DATE: I;) .4 -0 I.' .... ""'"r.l.~l ii: 3.~'-t-1 RECEIVED BY: ~ )(-', , 'City Job Numberq 10 ~C1 { 3. COMPLETE .FEE SCHEDULE BELOII A. New Residential~Single or Multi~Family per dwelling unit. Servi~e Included: ... . 1000 sq.ft. or .less Each .additional 500 sq.ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder It ems Cas t Sum . $ 85.00 $ 15.00 $ 1,0.00 B. Services or 'Feeders Installati.on, Alterations 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 vol ts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see tlB" above New, Alteration or Extension Per Panel One CirCtli t $ 35.00 Each Addi tional Circuit or with Service or Feeder Permi t IS. $ 2.00 -:<.rJf)O Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline LightinR Limited Energy/Res Liniited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?:() .C{) I . S-.() ~I,5.()