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HomeMy WebLinkAboutPermit Electrical 1990-11-6 r . J::t.. SpAFIELD 225 FIFTD STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. , ~rtr O~fh~~T~ ELECTRICAL pEilKIT APPLICATION Ci ty Job Number' q 0 I :~O g 3. COHPLETE ,FEE SCHEDULE BELOIl LEGAL DESCRIPTION A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: ..jQB DESpuPT;tON C' \' 0^ r... ,\ 0 V. Q)"T- c)1JY ,) ,'\ . 1(jJj.) Permits are non~ansferable and eXPi~e if work is not started within 180 days of issuance or if work is, suspended for 180 days. 2. CONTRACTOR INSTALLATI!)N ONLY Electrical contr~ctor~)hQO ~ , Address7"'J 703 D.", Sc~ ~t'rl:J City~.,.At:.l!' (OlUlo.&.Phone '7'f'Z--1(.,7L Supervisor License Number -z... 7 of(' s: Expiration Da'te /00-,"/ 1500 sq.ft. or less Each additional 500 sq: ft or, portion thereof Each Hanuf'd Home or Modular Dwelling Service 'or Feeder B. Items \ \ Cost Sum ~5 \s $ 85.00 $ 15.00 $ 35.00 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 Reconnect Only $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 Constr Contr. Number 7;=-/'7"" ~ C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date /o-e:;/ S~ure of Su~eriSlng Elictrician ~~.~. Owners Name Address City' Phone 01lNER INSTALLATION' The installation is being made on property ,I own which is not intended for sale, lease or rent. Owners Signature: ~~;~~-- I T:2-;=QC) _ RECEIPT.: ' ~v<(' RECEIVED,BY:~~~ 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 New, ~lteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation ' Pump or 'irrigation Sign/Outline Lighting Signal Circuit or ----- limited energy panel One Ci rcuit Two to ten Circuits Each Addt'l ten or portion thereof , E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $50.00 $ 15.00 not included) $ 36.00 $ 36.00 ' '$ 36.00 l({).()O F-;.I)U I 1")<-)tYJ