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HomeMy WebLinkAboutPermit Electrical 1991-8-7 .. . 225 FIFTD ~'A66' 'SPRINGFIELD, OREGON 97477 . .INSPECrION REQUEST: 726-3769 OFFICE: .726-3759 1. LOCATION OF r::.'t':TI.ONI/ . / . . 1L.lI/o Lou, II../MII~~ , LEGAL DESCRIPTION . 7h L..r 'ft:Joo .... J~:.F~Q ~ 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 contractor~/' 7fA/':t/~ Address Rc' "'i: <) IJ "" A (.;)(/~. City~O . Phone ,l'dt/-;I.~ Supervisor License Number q 45-- S Expiration Date jt) /9/ .Constr Contr, Number d() -.:2R'O ~ Expiration Date /I))Q/ Signature'of Supervising. Electrician ....,~~~. Owners ;QY{Jlh . . Address~1J J221~ .City .~ho~.ft;~'91Z6 OVNER IGJTALLATION The.installation is being. made on property. I.own which is not. intended : . for' sale; lease or rent. Owners Signature:. ....~K,~ - ill\ " DATE: ~ . . ~qG\1.r ,.,:~ -: - -_. . RECEIPT I: " . . _ \..V-./'f( , 'f RECEIVED DY: \... JI J n _ ) K1J , ELECTRICAL PERHIT APPLICATION City Job Number'. C{\Dltlp 3. COMPLETE FEE SCUEDULEDELOV . .*. 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 10 Service or Feeder -2L $35.00 D. Services or Feeders (10 Branch Circu'its .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 D. Branch Circuits $ 35.00 $ 40.00 $ 80.00 see "B" above 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 ~CO I).~ . 0Y SUBTOTAL OF ABOVE 5% State Surcharge TOTAL