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HomeMy WebLinkAboutPermit Electrical 1991-8-2 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF ~~TION 11 e:, f/u.y/;w ,31lt · w.AI LEGAL DESCRIPTION J7tJP,22 'ILl rJ7r17?(J JOB DESCRIPTION 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 B. Electrical Contractor (' dMrJ 5et<.vzlhl PLus Address t..(.ll S-J.:;ri ca/lo 1 'City EUcl~ Phoneh~-.y7~S- t Supervisor License Number .J....'7 () ILL Expiration Date It? -~/- fl.'? C:55=\(Y\' Number 22J --26 7 de Expiration Date /t1-t?)- 9/ 3/111cr2- , Sign~~~~u7;:Jician O':::rs Name !?o//,'(" kllJ1/vu-' L. D. Address Ci ty Phone U.""'" INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: . RECEIVED BY: ez?, -?-! - '71 ~~~7~ . . d/-=-:rl//.~ Ci ty Job Number q / to 2s;o.....{') 3. COMPLETE FEE SCHEDULE BELOV A.New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circui t Each Additional Circuit or with Service or Feeder Permit $ 35~00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20 . 00 -:J.D. 0-0 36.00 not included) $ $ .I~ $ S 5. :Z19.,:I0 'f. 010 "2./. ().o SUBTOTAL OF ABOVE 5% State Surcharge TOTAL