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HomeMy WebLinkAboutPermit Electrical 1992-8-20 2. CONTRACTOR INSTALLATION ONLY n. Electrical contractor~\I~Ai~ ~cJ; Address. 8b7/ 4- City MU-U€ac..Phone 7u-7t'95 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-37 OFFICE: 726-3759 / 1. LOCATION OF INSTALLATION JOB DESCRIPTION . \~/ZlJla;- C#~~ Permits are non-transferable and expire if work is not started within. 180 days of issuance or if work is suspended for 180 days. Supervisor License Number .:1357 sf Expiration Date /O~.9~ Constr Contr. Number ,;;J-:UO I Expiration Date /O-9~ Signature of Supervising Electrician ~ .r\~^ ~ Owners ~me \fXV\ ~ JO\ti:; Address City Phone OVNER INSTALLATION The installation is being. made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~::-~~~-:~~~~~~~~--------- RECEIVED BY:C)C~...iL--~ ) SpnlNGFIELD ~ CAL PERHIT APPLICATION q~ ;{J7! E FEE SCHEDULE BELOV $ 85.00 '- $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps I ~ 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 ~Installa~on~Al\eration or Relocation d(!JUJ \ Sa~ 00 amps or less / $.35.00 Sa ~ 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 $ 36.00 Sign/Outline Lighting $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL so .a:; ~, .50 "\.;1.50