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HomeMy WebLinkAboutPermit Electrical 1991-9-16 " 225 FIFTH STREET 'SPRINGFIELD, OREGON 97477 ,INSPECTION REQUEST: .726-3769 OFFICE: . '726-3759 1. LOCATION OF IN~ALLATION. ''574- L.nrlJt~ LEGAL DESCRIPTION /,1-, /Wro JOB DBljCRIPTION ,011 ~ . fnnhlJJ 1;;izYl1Sl. .,.. ~Jt.1.J.u 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 B. Elec t~ical Con trac tor~io/it./~ , (j Address lss- IAJ.///I '6lL/& , ,City '/f;r/1~PhOneddd-l')7)O Supervisor License Number C1~~ ,<; /0 hi 'Constr Contr. Number d(() -cJgo ~ .)tJJq; Expiration Date . Expiration Date Signature.of Supervising,Electrician .~"~ f , Owners Name. Address. City Phone OVNER INSTALLATION The 'installation is being, made on , property I own which is not. intended . for' sale; lease or rent.' Owners Signa ture:' '/?~K~ t.- _ 1/ DATE: L\, \'&.~, ~ L . P.r.I.IlOLn ,: :-.l& I :\n,::l, _, RECEIVED BY: Cl\~~- , ELECTRICAL PERMIT APPLICATION City Job Number 'C\ \fJl Cf?) 3. COMPLETE FEE SCDEDULE BELOV '* A. New ~esidential-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 Hanuf'd Home or Modular Dwelling Service or Feeder :::t $.35.0010 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 201 amps to 400 amps Over 401 to 600 amps. Over 600 amps or 1000 volts $ 35.00 $ 40.00 $ 80.00 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 Circuit or limited energy, panel $ 36.00 $ 36.00 ' 5. $ 36.00 f)(),CO :-{ ~n /) :~ ,:":'/" j SUBTOTAL OF ABOVE 5% State Surcharge TOTAL