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HomeMy WebLinkAboutPermit Electrical 1991-3-13 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ',INSPEC'l'ION REQUEST: ,726-3769' OFFICE: ,726-3759 1. LO~~ ~ ~\;:tT~\\<1 ' LEGAL DESCRIPTION " JOB DE~CRIPTION ' f) ~ ~ 0 k'\'II'\ 0 f\(\ 9.- Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor\:\~O() ~f\ nt1v Address -,c.:(l(A~ \).\1. ..':)~)(\ \(0. Ci ty (\ . ("l,ry\l(.. ,Ph~ne q4~-~\.o 12. , Supervisor License Number ,!) '7 n <6.:5 Expiration Date (0 {\ I q I , I Constr Contr. Number 3'61(53(0 \ ELECTRICAL PERMIT APPLICATION , City Job Number , q /0/104-_ 3. COHPLETE PEE SCDEDULE BELOV A. New Residential-Single or , Hulti-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq; ft. or less ~ $ 85.00 B '5 ~ Each additional 500 sq. ft or portion thereof 2 $ 15.00,30."" Each Manuf'd Home or Modular Dwelling, Service or Feeder ,$ 35.00 B. Services or Feeders (10 Branch' Circui ts included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601'amps to 1000 amps Over 1000 amps/volts Reconnec t Only . $ 35.00, $ 60.00 $ 90.00, $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less '~$ 35.00 ~ 201 amps to 400 amps $ 40.00 . Over 401 to 600 amps' $ 80.00 . Over 600 amps or 1000 volts see "Bn above Q. f:J./q')/ , I Sign~f Supervis ng, Electrician ".l~. C\ ,j" 'Owners Na~e \~A-:h i J\ \)' , ' Addr~ss.t9 qq Q , fi\ 0 tiJ I i ()~ , Q, "\ ' :' ' "A Q.' ' One Circui t ' Ci ty , l.AJQ.eJ\o.. Phone 'T'~ ~ u \ 1 (0 , ,Two .to ten Circui ts " l\ ' ' " Each Addt'l ten or ,OVNER INs'r'ALLATION', ' portion thereof ' Expiration Date The 'installation is being, made on property, I own which is ,not,intended , for sale, lease or rent. Owners Signature: DATE: , RECEIPT I: RECEIVED DY: 5. \J.q \ \~ 1). 1-l~n<;:2o, D. Branch Circuits New, Alteration or' Extension Per Panel $35.00 $ 50.00 $15.00 E~ Hiscellaneous (Service/feeder not included)' -Each 'installation Pump or irrigation' Sign/Outline Lighting , Signal Circuit or limited,energy, panel' 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 $ 36.00 $ 36.00 / / c:;.()O ,,>,75' /20,7S