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HomeMy WebLinkAboutPermit Electrical 1990-9-7 ~ ~'}~'1;J;/II'i.i/~.' 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLA~IOJ'l 3?_~ hMctJliV LEGAL DESCRIPTION . t 7032-2-2-(') - 0170-[) rc;m22iNiJI/W n~L- ~AfJ(P" 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 contractorr;r~()/c>;vr~ Address 3/32/SIGII!S: D~. . '~. .f/l8ee= .::?/ Ci tYJ/H':.'"fW..-~64f>J.{./ Phone c...:r/ 7- -Jf,,/tJ Supervisor License Number 3/ j S-r- Expiration Date /ph / . Constr Contr. Number 69'133 Expiration Date 0/)3/'7/ sft:~an ~ OVNER INSTALLATION Name Address Ci ty Phone The installation is being made on property I own which is not intended for.sale, lease or rento Ovners Signature: ~~~~~---9~-;7~~~---------------------- RECEIPT iI: t?t7JJ, RECEIVED BY: (L-v~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number .1 D ( / 1 0 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum ~500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dllelling Service or Feeder $ 85000 $ 15.00 $ 35.00 B. Services or Feeders (10 Branch Circuits 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 ampsfvolts Reconnect Only $ 35.00 $ 60.00 $ 80.00 $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 $ 35.00 $ 40.00 $ 80.00 volts see "B" above Branch Ci rcuits New, Alteration or Extension Per Panel One Ci rcui t Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E. Miscellaneous (Serviceffeeder not included) -Each installation Pump or irrigation $ 36000 SignfOutline Lighting' /1..- $ 36.00 /<)C,.vO Signal Circuit or limited energy panel $ 36000 5. SIIBTOTAL OF ABOVE 5% State Surcharge TOTAL .?/ o~ ,t-, . /. Pi') <?'"7. :P 6