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HomeMy WebLinkAboutPermit Electrical 1991-3-29 , 225 FIFrII STREET 'SPRINGFIELD, OREGON 97477 ,iNSPECTION REQUEST: 726-3769 OFFICE: ,726-3759 1. LOCATION OF INSrALLATION J\ rw.: \ \ ~~ \)'\~N\C~\.:..x ~~~~ (i)~\~ " JqB )>ESCRIFrION ~~ ( ", ' '-.JULJi X'i- > '-- lJ V -...J\1 1\ ~COIY1. Permits are non-transrable 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 . Address City . Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature 'of Supervising,Electrician " Owners Name\..\ ~~ ~ Address \\~~~'\~A- City' ~.clri P1.lone t+-1-S~9 OVNER INSTiLLATION' The installation is being, made on property I own which is not intended . for sale, lease or ren t.' Owners Signature: (J'f?;dAAJ c7 ~/ ~~~~-----~/ .~Cf Y \ --------------- ,.r.\,lun i: ~(.' , C-.( ef:.1....... RECEIVED BY: (~.f I'D ) - ELECTRICAL PERMIT APPLICATION City Job Number 3. G\~\4l of/..... COMPLETE PEE SCIIEDULE BELOV A. New Residential-Single or I Multi-Family per dwelling unit. Service Included: 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each.Manuf'd Home or Modular Dwelling Service or Feeder Items Cos t Sum $ 85.00 , $ 15.00 $ 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 Reconnect Only $ 35.00, $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation I 200 amps or less 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or 1000 D. Branch Circuits I $ 35.00 $ 40.00 $ 80.00 volts see "B" above New, Alteration or Extension! Per Panel _ One Ci rClli t $ 35.00 :..: Two, to ten Circuits ......... $ 50.00 ~ Each Addt'l ten or portion thereof $ 15.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited,energy panel E. 5. SUBTOTAL OF ABOVE .5% State Surcharge TOTAL not included) $ 36.00 $ 36.00 $ 36.00 ,~n.OO rV.ty) ~,(). SrJ