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HomeMy WebLinkAboutPermit Electrical 1991-9-3 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. _L~CATION OF INSTALLATION ~ _ ~'_?'_' fI.tJ.~~/o..l 1?....~a. ' - "\60' . itJC<I.j 1J!'GAL DESCRIPTION I /70'5 23 '<.4 t0~/eo JOB DESCRIPTION . IJ..I-..~el tI-o~ +'oy ~<=eTI":,\ {2d:>>..-.. 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 Ce~...d, tlec-T......i.. Address ;:2737 OA....p<c. 1t-.:zt City ._'Sp.f.lcL I DR. Phone 7'11-259i / Supervisor License Number r'?b~q S Expiration Date 10 '-1-'12.. Constr Contr, Number .<)469D Expiration Date jl-n-i:(f Signature of Supervising Electrician. ,PI~ ~~ Owners Name . Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT ~: RECEIVED BY: c;-J-il ~~' S'-'IIUcl:IULU 3. City Job Number 'l~-?!it 9/0-,qJ COMPLETE FEE SCnEDULE 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 B. 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 $ BO.OO Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel y $ 35.00 ,?5'-OD , One Circuit Each Addi tional Circuit or with Service or Feeder Permit ~ ~-... $ 2: 00 6.fJD E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. $ $ $ $ 4;00 '2- CJ,- do:? (T!T ( -- 40.00 40.00 20.00 36.00 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL