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HomeMy WebLinkAboutPermit Electrical 1991-1-3 --- -~ :. .., ';1', I. 225 FIFTn ~.~. SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 . , 1 ~ , 'LOCATION OF I~!ITAL1iTION ~ ,K,l/.o' I('DjJYl~) LEGAL DESCRIP'qON /'oo/' ') Ix0804/4 1l-=<'1l.J.-/ \ ~ ~~~rId~~J?l J ' Permits are\)~n-transferable and expire if work is not started within 180 days of issuance'or if work is. suspended for 180 days. 2. CONTRACTOR INST~YN ONLY 'B. Electrical contracto(Q'k 0 ~tQ [)S2...7 , OJ r-' r-- f\ A~ Address F"I t \ ~ 1\..). ~ Ci ty~ ')~1\.Q ~hone Supervisor Lic~nseNumber ~~ ~ " Expiration Da'te \ () II I q';).. Co~str Contr. :Number' l ()~\ ~~ \~I Signature of Supervising Electrician . '.~'~' I, . Owners Name tj, l\\ '(J Q . . AddressQ../f) C~{)~4 \.\\C'U,' {\ City S(\l.--.\ ct Phone '1&ln -~\ll '0 ' OVNER INSTALLATION' , Expiration Date --- The installation is being made on property ,I own which is not intended for.' sale, lease or ren t. ' Owners Signature: ~Att~- { ~~ ( RECEIPT,: :::::A. t);101/ RECEIVED BY: "11 , 'SPR.F'IEL~ ..... ..111,.. ELECTRICAL PElu!rr APPLICATION City Job Number' qfJ\4(1 \ 3. COHPLETE FEE SCHEDULE' BELOIl . New Residential-Single or ' ~ Hulti-Family per dwelling unit. . Service Included: Items Cost . m A.. 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodu1ar Dwelling' fl Service'or Feeder r:v $ 85.00 $ 15.00 $ 35.00 . ~, ' Services or Feeders (10 Branch Circuits included). Installation, Alterations or.Relocation: 100'amps or less 101 ,amps to 400 ampSi 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 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 "n"above D. nranch Circuits New; ~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. Hiscellaneous'(Service/feeder not included) -Each-installation . Pump or irrigation . Sign/Outline Lighting Signal Circuit or limited energy panel 5. SUBTOTAL OF ABOVE 5% S ta te Surcharge ' . TOTAL $ 36.00 $ 36.00 . $ 36.00 r;n 00 ,q f"i(') ..a.3.~(\