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HomeMy WebLinkAboutPermit Electrical 1991-6-4 225 FIFTH STREET 'SPRlNGFIELD, OREGON 97477 INSPECrION REQUEST: 726-3769 OFPICE: :726-3759 1. ~TIOtt o,p INSTALLATION \~~;o ;;:&0 .' ~OVCO~ . . 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. CONTRAC!OR INSTALLI).VON ONLY . Electri,~ contrac~A~ \ Q~ 9J'rt" Address'V() \?N. I '::JCf:6r?, Ci ty -SnJJ m . Phone 5 QIJ .,~f:> \ f} Supervisor License Numb~r M{)A) S Expiration Date' . \ D/llq~ . Constr Contr. Number '44 ~ct.C::S G-- LL5..J~ tJ . I . I -r-- Expiration Date ,fignature 'of SUP~is~/lec.trici-" \, - -I ~-/--ttM-L ., ~-. - . ~'s Na;e\\\~4r~\\\tJ~~ D~ . Addresscirf5l. ~tlJf( fliO City ~~dlrq Phone A14-. 1b%O OVNER INSTALLA1ION The installation is being. made on property 'I own which is not intended for sale, lease or rent. Owners Signature: ~ATE: fl"> ,4 ,qj f\" ~---- RECEIPT I:~..._.r('j()~ RECEIVED BY:. ~ lA' .- ~ '-" . ELECTRICAL PERMIT APPLICATION Ci ty Job' ~~mber -t:t6 r~ . .., ~ .p' COMPLETE PEE .SCDEDULE'.BELOV \. .1 , 3. " New Residential-Single or Multi-Family per dwelling unit. Service Included: A. Items Cos 1500 sq;ft. or less Each additional 500 sq. ft or. portion thereof . Each Hanuf'd Home or Modular Dwelling Service or Feeder Sum $ 85.00 $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: B. 100 amps or less 10l'amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. I ~ $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 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 "R"_above Branch Chcui ts New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel One Circuit .Two to ten Circuits Each Addt'l ten or portion thereof E; 5. SUBTOTAL OP ABOVE 5% State Surcharge TOTAL $ 35.00 $ 50.00 $ 15.00 no t included) $ 36.00 $ 36.00 $ 36.00 as.CO \ , ''I'' ,""'I () .1 \.:---.