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HomeMy WebLinkAboutPermit Electrical 1991-12-30 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders ~ ' .1~~j:n. ~Installation, Alterations or Electrical Contracto~ill.\\\:\I)., ~ ~ Relocation:, ,." ' Address RT-f~ W ~ 200 amps or less' C' ,:>.A A \-^?'\ 201 amps to 400 amps Ci ty C-t n p 110 ~Phone CJ\'-t- t<)J 401 amps to 600 amps '(\ n A c... c::: 601 amps to 1000 amps Supervisor 'f:lJ.cense Number .\~ U '- ) Over 1000 amps/vol ts Reconnect Only r 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LO~?J)S~N~('fra>ffiA6( , \~fJ~PY~, () ~ 9JX~ ./ A. ',:,~~ ~~El~.:.f ~:?~ if'work'is not st r ed'within 180 days ,of issuance or if ork is suspended for 180 days. \~.~~ Expiration Date Constr Contr. Number -L-o~ \ ~f) \~.O\n - , Expiration Date ~gnature of Supervising Electrician ,,~\ ~ ~~ I'r: \' \ D. Uwners Nallie ,.:J;\\ Cl Q t- },,~ <U\!~ Address ~\)?4 \\\~) City~~~_ Phone-1c9.ln .~nJ OVNER\I~ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~---~----l-~~~~~~'~~==--- RECEIPT I: , _ ?fq. \ ( ) RECEIVED BY: 01)AJ_'()- Y - SI..IINGr-If1LD City Job Number 3. COMPLETE FEE SCBEDULE,BELOV ~ew,Residential-Single or Multi-Family ,per dwelling Service Included: ' Items ." : 1000 sq.ft. or less Each additional 500 sq.ft or, portion thereof ' Each Manuf'd Home or Modular Dwelling Service' or Feeder C. " unit;, .M .. cost'T $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00, $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or,Re10cation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or,1000 Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "8" above New, Alteration or Extension Per Panel MisceU'aneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Liniited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ( $ 35.00 ~c:; $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 86.oU ~f/,~ fis>