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HomeMy WebLinkAboutPermit Electrical 1991-1-23 225 ........ 1'1 STRERT , 'SPRINGFIELD, OREGON 97477 ,INSPECTION REQUEST: 726-3769 ' OFFICE: ' 726-3759 1. LOCATION OF INSTALLATION, 'i..J?;(~ r:::fJY5!J+f.1,o... Dr LEGAL DESCRIPTION I'i? ()ZOC) 2.1 n 1'72/0 JOB DESCRIPTION, Sr''R-o. 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 f2 t'VjV\oIJs S/fC. Address 27'82. c.eV\~o.-t 6) lid, Ci ty S-U0eNL ,Phone' 343 -7297 (, Supervisor License Number Z620..s :' Expiration Date (0 -:7/ Constr Contr. Number /7z-!52- Expiration Date /0 '7/ .Si~ture of S~ising Electrician ~d/~~h ' ""f!ers' Name =~ (tp "cJ& V ~ Addr~ss ' qty Phone ,OWER INSTALLATION The installation is being, made on property I own which is not, intended for sale, lease or rent. Owners Signature: " DATE:_ j- ?,...?i -'/ / , Ilt..."'~n I: I Cf../ 7tii RECEIVED BY: 'Lu~ I ELECTRICAL PERHIT APPLICATION , City Job Number Qo/z61 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof, Each,Manuf'd Home or Modular Dwelling Service or Feeder ! $ 85.00 2'~. 0() , ,$ 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 60l'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 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 "B" above D. Branch Circuits New, Alteration 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 not included) " -Each installation Pump or irrigation, Sign/Outline Lighting , Signal Circuit or limited,energy panel $ 36.00 $ 36.00 ' ,$ 36.00 5. SUBTOTAL OF ABOVE ' 5% State Surcharge TOTAL 65,00 <f. 25 ",,'1.2'5