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HomeMy WebLinkAboutPermit Electrical 1991-1-25 225 ~~~.n ~.A66. SPRINGFIELD, OREGON 97477 ,INSPECl'ION REQUEST: 726-3769 ' OFFICE: ,726-3759 1. _IPj(ATION-llF .-INSTALLATION J ,~f"\ (-\(\ \ Q u.:n 0 Jt'" 1~~~C3NO~Cb ,(:)~OB DES~r.nON, " .. \\l~ 'x'\ 'Jr0 / Permits are non~tr~~sfe~able arid expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I ELECTRICAL PERMIT APPLICATION City 'JOb.Numberq()!, ~~q" ". ~ 3. COMPLETE FEE SCHEDULE BELOV ' A. New Residential-Single or , Multi-Family per dwelling unit. Service Included: 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each,Manuf'd Home or Modular Dwelling, Service or Feeder Items Cost Sum' $ 85.00 ' $15.00, ' $ 35.00 2. "u...nACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch' Cir,cui ts ~ n ' ...I. included). Installation, Alterations ' Electrical Contractol.\.:X '1)\ \( I of-5 or Relocation: 'Address jq~ [n.a}f~ . ' . 100 amps or less , City.D ~~Phone 4f{) -CABa ~g~ ::~: ~~ ~gg ::~: " " fi\qr;^c:::. 601'ampsto1000amps ,Supervisor C cense Number ~ (1--> ' Over 1000 amps/volts , ' ' 'I f-... \ q f'\ Reconnec t Only ,:.., Expiration Date t). I d--' Co~strContr.Number [)L\?---C\( 0 Expiration Date \ 0-- In C\ I Si .t'::;fl::2Z'''- wners ~me~ \8 ""::J ~ (\ ni Address' ' ~d-l, ~()T 0 l-l :u Jj City 9Df\~one ' , " ,OWER \NSTALLATION The 'installation is being, made on property I own which is not, intended , for sale, lease or rent. Owners Signature: DATE: , RECEIPT lJ: RECEIVED BY: ( ,cfJS~z:r1 o'-M- .}, _ nl~{/ .r~lJ )t!\"'; C. $ 35.00, $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 Temporary Services or Feeders 'Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps' amps or 1000 D. Branch Circuits volts $ 35.00 $ 40.00 $ 80.00 see "B" above 'I ! 1 New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation,' Sign/Outline Lightin~ ~ Signal Circuit or limited, energy panel One Circuit ,Two ,to ten Circuits Each' Addt'l ten or portion thereof E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 50.00 $ 15.00 not included)' $ 36.00 $ 36.00, ?,(,.., .' $ 36.00 ' &o~ l.'xO ,=3').'x()