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HomeMy WebLinkAboutPermit Electrical 1991-5-3 .-l~...'.''''''''.." C1 ,. ,:1 ~ ~l ,... 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION '57+~ AIVO thA\"J S<p,'=O. 5/ 0 0 \'V1 "-~ r'\ (2.tl V LEGAL DESCRIPTION AJOR-rll tvE'S, VA ruRAL ~ A~ ' JOB DESCRIPTION , ~ NEW PEOI",TrtL SEfVlU:. 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 /,. .tf, m()~~I~ Ekel Address 48'3 SHE L'-Gv ~ rR. Ci ty SPrf). Phone 74-7.-o~11 Supervisor License Number <J;OK -<; Expiration Date =0,/ ~.]:, .~~, Constr Contr. Number ~1~ ~~ Expiration Date 0/..t$.. /t9,! "'p ~/.J'- xs}:::;~~trician OVNER INSTALLATION Name Address Ci ty Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: c:- ) - ~I RECEIPT #: - /~7'~ 2- RECEIVED BY': . ~~u\TlA-. ELECTRICAL PERMIT APPLICATION City Job Number C)/O#7 , I 3. l COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 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 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less $ 35.00 3S 101 amps to 400 amps $ 60.00 401 amps to 600 amps $ 80.00 601 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 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 Lighting $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~,~ /75 3b,'" $"