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HomeMy WebLinkAboutPermit Electrical 1991-4-30 225 FIFTH STREET 'SPRINGFIBLD, OREGON 97477 "INSPECTION REQUEST: ,726-3769' OFFICE: ' '726-3759 , :1. ~~O~~~~ ' LEGAL DESCRIPTION ~ JOB DESCRIPTION "-~ ~ r2\ '\-0 ~ E- '\? Q J:';v \ 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. CONTRACIOR INSTALLATION ONLY Electrical contractorfu 0 Clrrl..J ' Address "C\f\D~ ~\LSt''MDlS:& City ~G~-<..,Phone C\4~ -3Iol2- , Supervisor License Number ~!1.nK,"" '/0/, /q'2.J 'Constr Contr. Number ~'X~ (n c9 / {J /qtV Expiration Date ,Expiration Date Sign~, 'of Supervising,Electrician ':V~ (\, ~~~" .owners Name' t=GJ\-t i)\ Q : ~ - Addr~ss ,~ ~ ( , ro 0 1n1 i U'~. City 'f'---l)~.eYlQ.Phone 4RS .,~/1 (p ,OVNER IN~ALLATION The 'installation is being, made on property I own which is not,intended , for sale, lease or ren t .. Owners Signature: 4"arJ,~ ( , _ , I t1 . 17ft..'! (J. C ~lJ..)D~-":' - DATE: , RECEIPT I: RECEIVED DY: I ELECTRICAL PERHIT APPLICATION CitYJobNUmber'C\ \ D~D'l 3. COHPLETE PRE SCDEDULE BELOV A. New Residential-Single or , , Hulti-Family per dwelling unit. Service Included: Items Cost Sum' 1500 sq;ft. or less ( $ 85.00 '&s, Each additional 500 sq. ft or portion 'J:) Pi) thereof $ 15.00 ' Each Hanuf'd /lome or Modular Dwelling, Service or Feeder $ 35.00 B. Services or Feeders (10 Branch' Circuits included). Installation, Alterations or Relocation: 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 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less f $ 35.00 I.~_S 201 amps to 400 amps, $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see nBn above D. Branch Circuits New, Alteration or'Extension Per Panel One Circuit , ,Two. to ten Circuits " Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $15.00 E~ Hiscellaneous (Service/feeder not included)' -Each 'installation Pump or irrigation, Sign/Outline Lighting , Signal Circui t or ' limited,energy, panel' $ '36.00 $ 36.00 5. $ 36.00 '~Q.W /.-,'0 L;:j'). SrJ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL