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HomeMy WebLinkAboutPermit Electrical 1991-12-30 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION <J!fI? ,)f~u-S.5 I~er . LEGAL DESCRIPTION . ' .. /? ..B '3 -:z '2. -;2?>. c:> P'9 /~ JOB DESCRIPTION Gte--=-/ ~ ,~P. , 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 Contr~ctorB~~,)_,__"";G"r:~ . I . -, _ Address-.7,~$Ol<' ;:q~'/~r /3'<"",~/') , , Ci ty ~ ~Phone~/~<'9 / Supervisor. License Number -:? f~<;,S ' Expiration Date /0";-'92 Constr Contr. Number ?~ 4'9 '/ Expiration Date / - /0 """2... Si~n,ture of ~:r~viSing Electrician JllJh / 1:Ij(,.. ow;;;; Naml D.r L e=5; / H.:::- ~ress ~SI''''''o C'............-v/~ t:"q , ?~h'I'c;- 5~ . Ci ty LA'- , Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT II: RECEIVED BY: /'A' ~",,'''9/ ~ ,-/",tT /2:' .;~ , . ,~ ' .'. ?' Ci ty Job Number '9///Rt/' COHPLETE FEE SCRE~ULE BELOV 3. 1< New Residential-Single or Multi~Family per dwelling unit. Service In'cluded : A. . Items Cos t 1000 sq.ft. or less ,Each additional 500 sq. 'ft or ,portion thereof Each Manuf'd Home or Modular Dwelling Service' or Feeder B. Services or Feeders Installation, Alterations or Relo~ation: . 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps' Over 1000 amps/volts Reconnect Only C. Sum $ 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 Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits ...-- 7"0 $ 40.00 $ 55.00 $ 80.00 see "8" above volts New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci-rcu it ,Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35,00 $ 2.00 not included) $ $ $ $ V~.~ 7-~ ~2; ...-c> 40,00 40,00 20,00 36.00