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HomeMy WebLinkAboutPermit Electrical 1990-10-5 ~.);;f-"f;,J;( II' IW' ~.' 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769. OFFICE: 726-3759 1. LOCATION OF INSTAL1fITION. J C; ( 7. /-?ta#<,' f~_ II ~ce-. LEGAL DESCRIPTION . ~ _ ~ TS I.f3s rL. 3>c.J JOB DESCRIPTION j tJew f7..<(;PH'ct' e.'1cL- 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 fLak 10'1 a<:'C.., Address 6q0 e::. wI" /!J.ve.. ~-I~Z;;S ?o17$ lo-I-CJ I Ci ty ~1x:z. ae-.. Phone / . Supervisor License Number' Expiration Date Constr Contr. Number ""Z::? -'7.0t:. C Expiration Date 10-/-61/ Signature of Supervising. Electrician A,.,.. . /)~ / OVNER INSTALLATION Name Address City Phone The installation is being made on property I own which is no~ intended for sale, lease or rent. Owners Signature: m*;':\~:Fi~9;~~--------- ELECTRICAL PERMIT APPLIC~T~N A Ci ty Job Number q 0\ \Ytt . 3. . COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: . Items Cost _. SUIn 1500 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each H,anuf i d Home or ' Modular Dwelling Service or. Feeder- $ 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 amps/volts 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 D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Sign/Outline Lightinp $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL