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HomeMy WebLinkAboutPermit Electrical 1991-8-1 S.-'liNCt=IELO 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF.;.INSTALLATION ~<3 / 5 c;: ,.,.:Te cn A-l LEGAL DESCRIPTION / 'ltp~:J-:J..-:;.o t?O 90;;- JOB DESCRIPTION #-T d-r c!., L (!p I ~ 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 iZ~ ':;#llm Address .57f,Bt> $iV J?i,l..rr#t4 &[/() 'City 6/lvi4-d-J7 Phone ?SV-08Bo Supervisor License Number .J- / j,1 5 Expiration Date /0 - 1>1- 9Zr Constr Contr. Number I ~699' ?_~/-f2-- Expiration Date Sign~~~lectriCian Owners Name Address City Phone OWER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: _~-t'-9 / ~~ /"~, r . J."U:,,,,,.c.~r.l i: RECEIVED BY: Ci ty Job Number q!..;:J ~ 6:;:' 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Exte~sion Per Panel One Circuit V $ 35.00 ~<<::> Each Additional Circuit or with Service or Feeder Permit _ ~ $ 2.00 <6."","0 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 C//.~- 5% State SurCharge .-:;2. c-s-- TOTAL if-:;;y. p..,