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HomeMy WebLinkAboutPermit Electrical 1991-3-15 225 FIFTH STREET .SPRINGFIRLD, OREGON 97477 ,INSPECTION REQUEST: ,726-3769 OFFICE: 726-3759 1. LOCATION OF IJlSTAL4TIO~, 0 '\ ' \ o'f\~ \ l'J \n 1'~ x.r~g~~~~ O~~of) ,~B DRSCR!.PTIONJ "n rn._ /I ' \\c ~ lYd) , QLT ( V(ULA.1/ \ .' /J Permits are non-transferable and expt(e if work is not started within 180 days of issuance or if work is suspended for 180 days. / . ' 2. CONTRACTOR INSTALLATION ONLY Elec trical Con trac tor. . Address "" City .Ph'one Supervisor License Number Expiration Date .Constr Contr. Number Expiration Date Signature.of Supervising,Electrician , Owners Name6'u^~ J l")~ \, )Q!\'\3 D. Addr~ss .Sfl3 Do '\ a ,6-- City ~(fipho~e 12(D- \ ~Z5 OIINER INSTALLATION ' The installation is being, made on property. I own which is not intended , for sale, lease or rent. "t~~~rLa ~ .... t~~: -~~ l~..qr-.~ -------- , RECEIPT I: /IV,. _.:.. ('/.... jU \ - RECEIVED DY: ~l.LJc.A: ) . , ELECTRICAL PERMIT APPLICATION City JobNUmber'a.. \D\ 0/7 3. COMPLETE FEE SCHEDULE DELOV New Residential-Single or . Multi-Family per dwelling uni t. Service Included: A. Items Cost Sum 1500 sq;ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00, ' Each Manuf'd Borne or Modular Dwelling Service or Feeder .$ 35.00 n. Services or Feeders (10 Branch Circui ts 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 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 volts Branch Circuits $ 35.00 $ 40.00 $ 80.00 see "B" &~ 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 ;3SoU 2i~ .'0'5