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HomeMy WebLinkAboutPermit Electrical 1991-8-16 SJ.'IINGFIELU 225 ........u STREKT 'SPRINGFIELD, OREGON 97477 , INSPECTION REQUEST: 726-3769 OFFICE: . '726-3759 1. LOCATION OF INSTf1LLAil'ION. ' . ' . '..sD,;2 ~lMiJ(JA/ . , ~ DES<:RJ~ '~ C:B D~:~YrION ',~ ',,~, "/'. J-::f - I Ie; CJ Permits are nonMtransferable and expire if work is not started within 180 days of issuance or if work is, suspended for 180 days. 2. CONTRACIOR INSTALLATION ONLY B. Electrical contractor~Alk%,'lI~ Address X.s:"l If) ;?/1.J rit../tk ' City ;6?rJ;?, ,Phone~ud- /''lVO Supervisor License Number Q(//)'-, '5 j{) /q 1 .Constr Contr. Number ,..}() -d'irO e.... /n /9 1 Expiration Date Expiration Date Signature 'of Supervising Electrician . . ~',;?LJ.L v ,~_ ~- , Owners Name, Address' . Ci ty Phone OVNER INSTALLATION The 'installation is being, made on property. I ,own which is not,intended . for. sale; lease or rent. Owners Signature:. , " ~LUlK, 1fvw..tJkt't. ... 1lA~' \. ol\ j(). ~ ~ ., RECEIPT ,:-- () " . r 4- . RECEIVED BY: 1/ , _7' , ELECTRICAL PERHIT APPLICATION. 0JDJ41 Ci ty Job Number 3. COMPLETE PEE SCDEDULE BELOV ' A. New Residential-Single or Multi-Family per dwelling unit., Service Included:, Items Cost Sum 1500 sq.ft. or less $ 85.00 Each additional 500, sq. ft or portion thereof '$ 15.00, Each Manuf'd Home or Modular Dwelling '~' 111 Service or Feeder $35.00 Services or Feeders (10 Branch Circuits 'included). 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 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 "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit , ,Two. to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E; Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting , Signal Circui t or limited energy panel '$ 36.00 $ 36.00 ' 5. $ 36.00 ~ . ' , , rJ ,~_ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL