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HomeMy WebLinkAboutPermit Electrical 1991-1-4 ~ q If1CJ/b 225 FIFTH STREET SPRINGFIELD, OREGON 97477 . .INSPECTION REQUEST: .726-3769 OFFICE: .726-3759 " . .1. LOCATI~ OF INSTALLAjIONJ- 37?3 J"'-sJo'PV"' /'00. . LEGAL D~SCRIPTION . ~??o 2j) Ii; P, - () q 7 of) JOB DESCRIPTION. :2 2-5 C<. Vv\.o 5ev 1/,' ~-e..- 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 "Address City . Phone Supervisor License Number Expiration Date . Constr Contr. Number Expiration Date Signature of Supervising Electrician . . . . . . ,", Owners Name.&r/nt?lj.C ~'e I Addr~ss.. Jq In / R:c./.. ;;. ... J .. City . f'lt?hJ . OH Phone "2f'n -/?oCf "" . OWNER INSTALLATION The-installation is being" made on property I own which is not intended "for sale, lease or.rent. .. Own6CZ:.1J 6Z-/ , " . / "- --- . DATE: 1- Cf- '91 _ . RECEIPT 1:_ \ Ui(l.~~ . RECEIVED B1: - -"10('<1 \ H\ \\'( , ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCDEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq;ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 35.00 B. Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less $ 35.00 101 amps to 400 amps -1-- $ 60.00 ~O 401 amps to 600 amps $ 90.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 35.00 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 $ 35.00 $ 40.00 $ 80.00 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 -Each installation Pump or irrigation Sign/Outline Lighting " Signal Circuit or limited energy panel not included) 5. $ 36.00 $ 36.00 $ 36.00 thl'),c; () .3rO U tJ .f rf) I') SUBTOTAL OF ABOVE 5% State Surcharge TOTAL