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HomeMy WebLinkAboutPermit Electrical 1991-1-28 225 FIFTH STREET SPRINGFIELD, OREGON 97477 , INSPECrION REQUEST: 726-3769 OFFICE: ' '726-3759 1. LOCATION 9F INSTALLATIO!f,.. . ' ~~q ~~J.,' ~." E LEGAL DESCRIPTION 1'7//:<: 2.7' /2 ~t? ~. - " JOB DESCRIPTION JfIEuJ 5.F ~m-. f ~ aM, 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 ' Address City . Phone , Supervisor License Number ',' Expiration Date "Cons'tr Contr. Number .Expiration Date Sigr;ature,of Supervising Electr1cian 'c',. . --. - ~". . . Owners NameR/~ , II' L~j..f.(}fj( AddressJ/07 ~. &2t'5T:' ,tity (~5~Pho~e 974;;..4- .OVNER INSTALLATION 91';.-33tJe - The installation is being, made on property I ,own which is ,not,intended ,for sale, lease or rent. ." ". ' , " . ' ..x;2gSu7~ DATE: / - 4.ffi -1/ , RECEIPT ,: /'1 (.<i..'~ RECEIVED BY: iE"~ 1 ELECTRICAL PERMIT APPLICATION , City JObNumber~1 ~06 7 3. COMPLETE FEE SCHEDULE, BELOV A. New Residential-Single or " Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq.ft. or less ,I $ 85.00' !l,S!!-". Each additional 500 sq. ft or portion thereof I $,15;00. &4:Il,' . Each ,Hanuf'd Home or Modular Dwelling, Service or Feeder $ 35.00 B. Services or Feeders (10 Branch'Circuits 'included). Installation, Alterations or Relocation: \~CO<O.J\..\....j-'- --- 100 amps (fr-Iess 0 -L $ 35.00, ~~~, 101 amps to 400 amps $ 60.00 401 amps to 600 amps $ 90.00 601'amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 35.00 $ 40.00 $ 80.00 see "B" above I D. Branch Circuits New, Alteration or ExtensiDn 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' , Sign/Outline Lightin~ . Signal Circui t or limited, energy, panel $ 36.00 $ 36.00 , ...:t,L II '.Ql 00 C)l.D. 5. ,$ 36.00 . 17J.~ , <!iI..t>~ / 79 .r.r SUBTOTAL OF ABOVE 5% State Surcharge TOTAL