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HomeMy WebLinkAboutPermit Electrical 1991-5-30 225 FIFTH STREET 'SPRINGFIELD, OREGON 97477 , iNSPECTION REQUEST: 726-3769 OFFICE: , '726-3759 ~ '1. ~~~ tW~s~ f\ Pi\j , \ ~fJAIrJ\~~IeN rD \rfL ~~D\n~N~~~ ' 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 "Constr Contr. Number Expiration Date Signature of Supervising Electrician " ::::::sN\~~~ l~~~O~ Ci ty ~ JIj,J-phone'r1rI-('f\lt , ,OIINER ] )STALLATION ' The installation is being, made on property, I own which is not intended , for sale, lease or ren t. Owners Signature: DATE:,_ _ ,>-~O::-I ( RECEIrJ.' I: ,,?L)..L2-4 RECEIVED BY: ..4/~ 3. ELECTRICAL PERMIT APPLICATION City Job Number C\'lT\..~2\t () , - ~" L COHPLETE FEE SCHEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq;ft. or less $ 85.00 R~ Each additional 500 sq. ft or portion '.'-1 ~ thereof _-) $ 15.00 ""L.l Each,Manuf'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 ?j- .--- $ 35.00" ,~ $ 60.,00 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less \ ,,' $ 35.00 ~ 201 amps to 400 amps $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 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 -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited,energy panel not included)' $ 36.00 $ 36.00 5. $ 36.00 /~..;:o ,'- -&~&Io~ ;fY ~:, - ,- if/:2/0 ()o SUBTOTAL OF ABOVE 5% State Surcharge TOTAL