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HomeMy WebLinkAboutPermit Electrical 1991-10-7 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 L LOC{l.TI9-N OF INSTALLAT;ION ~'f ~h.hQ.I\.~ IV\ J LEGAL DESCRIPTION /7't:> 3 . -:z.?- L?l <:) /~t>t> JOB. DESCRIPTION 11,-{/U \ ..1o~ J Permits are non-transferable and expire if work is not started within 180days of issuance or if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY . , Electrical Contractor~fS ~!o{\t/J.uI, (1m. I I ' Address p, O. W. J4-<g~ " I City~ Phone-.1!l.J-1..'J...31ro Supervisor License Number I b ~ bS In -I -q').... Constr Contr. Number 03$?4q q-l-q1-- Expiration Date Expiration Date Si~ature of Supervising Electrician C;?~4~,~~' . Owners Name CAohmI k dA ~ or i1A1.J.n trTt:" JU ,~\---~ Address 15'+ iM.h h.PAttlh I . CitY~~f'old I Phone 7~b - 011~ OVNER INSTALLATION The installation is being made on property I own which is not ,intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: la ,?,~ / -:;;: (<))' '" 4.&4::&";. 7 ",,, '. 3. City Job Number '7///&:/ COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: * Items Cost Sum 1000 sq. f t. or less Each additional 500 sq. ft or portion the'reof Each Manuf'd Home or Modular Dwelling Service or Feeder B.Services or Feeders Installation, Alterations or Relocation: 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 $ 40.00 $ 55;00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permi f 35",00 $ 35.00 $ 2.00 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 5. SUBTOTAL OF ABOVE ' 5% State Surcharge TOTAL .10',00 1.1.5 :lln. '7;)