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HomeMy WebLinkAboutPermit Electrical 1991-8-21 225 'ut.", STREET SPRINGFIELD, OREGON 97477 INSPECrION REQuEsT: ' 726-3769 OFFICE: 726-3759 1, ~~~ OF 0~tf)^~I~~ 0 on , LEGAL DEA.CR,\P'!;I~ \ ,D?J8.ZX \U 0,200 ' . iOB p~S~PTI9.N ' ~('\' L \4 I.. A)~ N., \.\(1\ 1'&.... ~"Y Permits are non-transferable a d expire ~ if work is not started within 180 days of issuance or if work is suspended for '180 days. ' 2. CONTRACfOR INSTALLATION ONLY Electrical contractorOO(:i\))j(j ) Add,." C('2; f) \i1 ; t' ill ~ ~. , City Y DO _ Ph~e lo<6<K, ~l20 ' supervisorLO:ense Number ~q()()'S \[), \.C\Q Expiration Date Constr Contr. Number c!){ ~Lrx<)4 . Expiration Date . Lo. ({). qQ...... ..---. ' / Si~ature of ~upervising Electrician {1m; \'Il?Y~ ' ,.' V / . v..."" INSTALLATION NamEi N\~to ,~\-rlM n Addres~ \rC)\, 9~\~\)-r\MlO~ Ci ty" <:f\C l rt. " Phone '14l~A(f81 ,-"'\\ . The installation is being made on property I own which is not intended for sale, lease or ren t. Owners Signature: ~~~~-l dt <Y\--.rQ \ l..\ \ . ' RECEIPT [''-IV';:' _ j ~;..o./ () l.o =<.. RECEIVED ,BY: l ~J\( J ' ' ELECTRICAL PERMIT APPLICATION City Job Number ,'0,\('/\1\.9 3.COHPLETE FEE SCHEDULE BELOV A~ New Residential-Single. or Hulti-Family per dwelling unit. Service Included: , Items Cost SUIn 1500 sq.ft. or less Each additional 500 sq~ ft or portion, , thereof Each Hanuf'd Home or Hodular Dwelling Service'or Feeder' \ $ 85.00 R5 $ 15.00 L\ ~ 5 $ 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 \ ,~5 $ 35.00 $ 60.00 $ 80.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation,. Alteration or Relocation 200 amps 'or less. $ 35.00 201 amp~ to 400 amps $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 ampsor,1000 volts see "B" above D. Branch Circuits ..t:.\ .~' 'New, Alteration or Extension Per Panel One Circuit $ 35.00 Two to ten Circuits $ 50.00 Each Add t' 1 ten or' portion thereof " $ 15.00 Hiscellaneous (Service/feeder -Each installation Pump or irrigation 'Sign/Outline Lightin~ SignalCircui t or ' limited energy panel E. ,5; , SUBTOTAL OF ABOVE 5% State Surcharge TOTAL . not included) $ 36.00 $ 36.00 $ 36.00 t\ ne:sc;D R.?C; \1-8.~S