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HomeMy WebLinkAboutPermit Electrical 1990-10-26 r:" . SP.lFIELD 225 FIPTD STREET SPRINGFIELl>, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1.. LOCATION OF INSTALLATION 4 "'I ~ 7 l?l--!.c. Ir hevC/v r LEGAL DES~PTIQN oi) 11/) '7 2,..",2.LI /') -57 , - - v_ JOB DESCRIPTION .<:; 1=-f( Permits are non-transferable and expire if work is not started within 180 days of issuance, or if work is, suspen!led for 180 days. 2. CONTRACTOR INSTALLATI~N ONLY Electrical Contractor LA-fJ en E&.c.( Address OS 'it '7 00 J1414-1;r~ Ie M CitY4"'~'"' C,,.'rdPhone 72 -6- ''If?c; 7 / Supervisor License Number :2, q (O""" S Expiration Date '/0 -/ - '7 "'z.. c: ConstrContr. Number CC!S-3S'- 36";>' Expiration Date ~ -.:2. c;. - 7/ Signature of Supervising Electrician ~7 r:6~ D. I)c;........d 40, ~~-$. Owners Name C.()H",Tv",-,.f",,-~ Address City s"" c. d) I Phone OWER INSTALLATION' The installation'is being made on property ,I ovn which is not intended for sale, lease or rent. Owners Signature: ~A,~;~:i(1=-il~-:'1~ 1<6 Lo "1(( RECEIPT I: ,I 1 () I RECEIVED BY: (, ,J), A. ../ ELECTRICAL PERKrr APPLICATION City Job Number % ( IJ 1/ ~ 3. COHPLETE PEE SCHEDULE BELOV A. New Residential-Single or ~ Hul ti-Family per dwelling uni t. ' Service Included: It ems Sum 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof . Each Hanuf'd Home or Modular Dwelling Service 'or Feeder v $ 85.00 85.&"0 v $ 15.00 6.Ob $ 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 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less '201 amps to 400 amps Over 401 to' 600 amps Over 600 amps or:IOOO.volts $ 35.00 $ 40.00 $ 80.00 see "B" above Branch Circui ts Nev, ~lteration or Extension Per Panel One Circuit Two to ten Circuits' Each Addt'l ten or portion thereof $ 35.00 $50.00 $ 15.00 E; Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Signal Circuit or. limited energy panel not included) $ 36.00 $ 36.00 5. $'36.00 )$J) .9YJ .~ 1,j(t;.dU " '/ SeD ' 3.'15 '1 ~. "/5 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL .