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HomeMy WebLinkAboutPermit Electrical 1991-3-8 225 FrITH STREET .,.,:;. :'. LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ,\ <,' ::,0 . ~ I iNSPECTION REQUEST: 726-3769 /" () } ,- City Job Number-B f{) {07 OFFICE: 726-3759 ' ,()~-;'~ :!;.:"',' '\..r\fJ.. .../ MPLETE PEE SCHEDULE DELOII 1. Ito~<m OF I~11*~.f.0~-' ,~.~ cJ:>>/ / I Oh~ \ (-,\( tll~'f\O\'> ,;;7-1.. New Residential-Single or , ,/ <:];if Multi-Family per dwelling uni to , LEGAL DESCRIPTION "oj ~c?:- Service Included: 1'X'()~/)311 n'd&3XJ ',- ~ Df!Pffj~ (1l!(!J permilsJare 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 D. Electrical contractor&H'I:1J Address 42.A'22.. \'\\U 11 f\?:io~~ ' City ~\'~ .Phone ~qln~l~q~ . Supervisor License Number ~I S Expiration Date-10!1 / q Q. , f C. 'Constr Contr. Number 1'3Q4() Expiration Date Lo tJ..O /q I i-;P!:~v~'Z i..,,,,;___ C!fp; ~,f~ )i / /ir;ss D. AddressAf)~ m /6r '. . City .~rl Phone 1iLo-\525 OIINER INSTALLATION The installation is being. made on property I own which is not. intended . for sale, lease or ren t" Owners Signature: /, --~--------------------------- DATE:_ _, ).8.ClJ _ __ RECEIh i: _ J J'1LQ-">1 RECEIVED DY: '- ::r (L n ) , 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each.Manuf'd Home or Modular Dwelling Service or Feeder Items \ / I /\ '\ Cost Sum \ B5 \5 $ 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 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 ( () 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 Branch Circuits $ 35.00 $ 40.00 $ 80.00 see liB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting 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 I~..~ _I ns .rr )