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HomeMy WebLinkAboutPermit Electrical 1991-7-11 SI'nINct'=IELO ~ ~225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION J./.<J tLrr ~ rJA.Li..cL, . ~n~~rn~ ol,C0 City Job Number ?/C>$/:'f" 3. COMPLETE FEE SCHEDULE BELOll A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION \~.e<'n:h. ~~r\.l""'I'O, Permits are non-transferable and expire if work is not started within 180.days of issuance or if work is suspended for .180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor.c...r- 8 800(lt~ (I \tJiM-, Address p.{). ~, ltj,~1--. , CitY~~~' Phone141-1,.1..3fD Supervisor License Number I h 2 to is Expiration Date 10 -1-q1-> Constr Contr. Number Q-:J,$UJ-q Expiration Date q :.., - q , Signature of Supervising Electrician /Y)/l-v"d~ U' 7 i'~ - / Owners Name~J~I~ Addressjml rr~oJU ~l. CitY~ ' Phone 'l4/-1,:!JD:3 OllNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 7-//, e:;; /' RECEIPT II: -=<4><~? RECEIVED BY: /h,r5l, __ . ,j.'; Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 5"0.00 C. 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 1000 volts D, Branch Circuits $ 40.00 $ 55.00 $ 80.00 see nB" above New, Alteration or Extension Per Panel One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited. Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5"0.00 j, .5'0 5~.5'0