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HomeMy WebLinkAboutPermit Electrical 1990-12-26 'i !i . il225 FIFTH STREET ' :jSPRINGFIELD, OREGON 97477 'I.INSPEClION REQUEST: .726-3769' :1 OFFICE: 726-3759 . . ill. ~CATIqlj OF INSTALLATION ,i '17 J ft.. j/7}. <;:L fA J /XvI.. i 0 ~ DESCRIPTION . f;; } 7 ():;t, 77]_ () 0'10 (,.; JOB DESCRIPTION -T Pin" 0 . .I AI'_' iPermits are non-transferable and expire iif work is not started within 180 days 'Iof issuance or if work is suspended for : 180 days. 2. CONTRAClOR INSTALLATION ONLY Electrical Contractor,4 '( ~Ifrin'c. "Address -pI) (l.,i'\)( 12Cit..l ~ City ~ AW1Phone~...::?'-'Z2b.r. . Supervisor License Number 2'-1025 . " Expiration Date l-O -I -q z- .' Cons t r Con t r. Numbe r4 <-{ "?y q .t3 . Expir.ation Date 2. - J:>" -9.1 Signature of S"::pervisi!lKElec trician .~/~~.. Ifners NameM.e.{Ai?r . Mo+e./" Address20IJJ 'ih' {f h-roDr.ft-2h . City {2 -<,del. fVtA fA- Phone' ~<f; -- zrlo'Jqfo . . v'. : OVNER INSTALLATION .' The installation is being. made on property I own which is not intended for sale, lease or.rent. . . Owners Signature: . .1 DATE: )ZO::2.-b-:%------ . '.', RECEIPT I: }xCJ [(6 RE".,...."" BY:. /.Vvv-Q " , ELECTRICAL PERHIT APPLICATION Ci ty Job Number . q 0 l328 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq;ft. or less Each additional 500 sq'. ft or portion thereof Each Manuf'd Home or Modular Dwelling Se~vice or Feeder $ 85.00 $ 15.00 $ 35.00 B. Services or Feeders (10 Branch Circuits inc~uded). Installation, Alterations or Relocation: 100. amps or less 101. amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Rec,onnect 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 / 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or 1000 volts $ 35.00 ,~.07) $ 40.00 .. $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel ,~~ ,,,' One. Circui t .Two .to ten Circuits Each Addt'l ten or p~rtion thereof $ 35.00 $ 50.00 $ 15.00 .\ E. Miscellaneous (Service/feeder not included) -Each "installation Pump or irrigation $ 36.00 Sign/Outline Lighting $ 36.00 . Signal Ci rcuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% 'State Surcharge TOTAL 35. C5[) /.. '7 '? .~7n_ 7 h