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HomeMy WebLinkAboutPermit Electrical 1990-9-24 SPRINGFIELD ,1. 1.0CATION ~LATION An 'oLD lot) " A_ ~ \\ LEGAL DESCRIPTION a \~D'd.rA\\ OLQ\CJ~ A~ New Residential-Singl~,or Multi-Family per dwelling. unit. Service Included: ELECTRICAL PERMIT APPLICATION City Job Number q 0 I () ~ '7 ' ~ ,COMPLETE FEE S"lU!.uULE BELOV \X~D ~~0 ' ~? 225 FIFTH STREET SPRINGFIEU>, OREGON 97477 ' INSPECTION REQUEST: " 726-3769 OFFICE:. 726-3759 3. /' , ,Items Cost Suln , " . f\J~B DES.CRIrrION t\ \ L' . ' ,-JL~5(\_:t,> ~,rN ~'-^.' \~ ,. , Permi ts are nort.1t'ransferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY 1500 sq.ft. or less Each addi~ional 500 sq~ ft or portion, thereof Each Manuf'd Home or' Modular Dwelling n Serviceor'Feeder' 0 $ 85.00 $ 15.00 $ 35.00~2f)C! Electrical Contractor, 'B. Services or Feeders (10 Branch Circuits included). Installation, Alterations 'or Relocation: , City Phone. 100 amps or less 101 amps to 400 amps 401'amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t Only , $ 35.00 $ 60.00 $ 80.00, $130.00 $300.00 $'35.00 Address' Supervisor License Number Ex'piration Date Constr Contr. Number' C.' Temporary Services or Feeders Installation, Alteration or Relocation Signature of Supervising Electrician 200 amps' or less, 201 amps. to 400 amps' Over 401 to '600 amps Over 600 amps 'or,1000 volts D. Branch Circuits $ 35.00 $ 40.00 $ 80.00 see "B" above , Expiration Date ' , OllNER INSTALLATION. , N\.l7\.'\'" '\\V:-r.' '1' " ' New, Alteration or Extension Per Panel Name \ \" \. \. -n {\, \-' \ \.An \"\ t.e. .e-. ' , .. C2 ,....\ ' .' .. One Circuit' Address B~6\ 0 tJO. ~l){\\ t (\~\\Q.y Two to ten Circuits , ' , 'Each Addt'l ten or' City ~J\QD)'...).~,~~, .Phone ~~lD-~ A ' po~tion thereof ' $ 35.00 $ 50.00 , $ 15.00 \ The installation is being made on property I own which is not intended , for sale~lease or rent.' , E. Miscellaneous (Service/feeder not included) -Each instailation ' Pump or irrigation Sign/Outline Lighting Owners Signature: Signal ,Circuit or ' , , ' ' ,(;M&M ~ {;y (J1~ fJ~ . limited 'energy panel DAT : .J. \~, 5% State Surcharge RECEIPT #: ..-1 \ ' ~L\) . " . TOTAL " RECEIVED BY: '~( f)()_ $ 36 .,00 $ 36.00 $ 36.00 3D.CD ," -) I. sO :~--l ~~ .;) f) \.SO'