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HomeMy WebLinkAboutPermit Electrical 1991-9-27 ~,1~ ~. ELECTRICAL PERKIT APPLICATION City Job Number C\ \\ \ l\l') * 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION ,REQUEST: 726-3769 OFFICE: 726-3759 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION ~O9, ~hJtn/\tfJ'Y'- J New Residential-Single or Multi-Family per dwelling unit. Service Included: A. LEGAL DESCRIPTION Sum Items Cost $85.00 JOB DESCRIPTION l,ULiv '~r } 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. Electrical contractor~~ \:JrM, Address P.O. &d, ,4gJ" , 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or . Modular Dwelling Service or'Feeder $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only , Ci t~fl1~' Q o.d, Phone Supervisor License Number 'l4'-~1..31o I(.,~t-, S J() - J - q {)-J 03 gt.j.q q -I-q ~ Expiration Date Temporary Services or Feeders 'Installation, Alteration or Relocation C. Constr Contr. Number Expiration Date $ 40.00 $ 55.00 $ 80.00 see "B" 200 amps or less 201 amps to 400 amps 'Over 401 to 600 amps "Over 600 amps or 1000 vol ts Signature of Supervising Electrician rf1)w~c 7~, '" D. Owners Name ~rlt ~ n.b1JmL ~ Address '102 ~ ,City J~&~Dad ,Phone '1,^b-ObS~ OIINER INSTALLATION above -/ Branch Circuits New, Alteration or Extension Per Panel $ 35.00 3'5.00 One Ci,rcui t Each Additional Circuit or with Service or Feeder Permit $ 2.00 The installation,is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: s 5'. DO t. '1_~ ?Jt-" '15 5. SUBTOTAL OF ABOVE ' 5% State Surcharge' TOTAL ~~~~~--7q=--'1"=- c\ \ --- RECEIPTill: '~I L/t./"'~ , RECEIVEq BY:' ~ \, --:2.J ------ '. I