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HomeMy WebLinkAboutPermit Electrical 1990-11-16 225 FIFTH STREET ELECTRICAL PERKIT APPLICATION. SPRINGFIELD, OREGON 97477 (I N + INSPECTION REQUEST: 726-3769 City Job Number '-'\\..\ ')CQrf OFFICE: 726-3759 1. LOCATION OF INSTALLATION 665 Main Street LEGAL DESCRIPTION JOB DESCRIFTION Wire Atm 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 Scofield Electric Address PO Box 2765 City. Eugene, Phone 6 86- 8 6 I 2 Supervisor License Number 508S EXPirat~r Date , Constr Contr. Number 10-01-91 38702 Expiration Date 12-21-90 ~i~U~~ supe~lin~lectrician I. )~y t1/y~/ , .';llNER n;TALLA&N ' , ' Name Address, City Phone The installation is being made on property I own which is not intended for sale, lease 'or rent. Owners Signature: ~~~~~-----T-r::-f7~~~-C7~----------- RECEIFT #:~-:,J . - RECEIVED BY: C7) ~ ' 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single, or Multi-Family per dwelling uni,t. Service Included: 1500 sq.ft, or less Each additional 500 sq. ft or portion thereo'f Each Manuf'd Home or Modular. Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation; Alterations or Relocation: B. 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' $ 35,00 $ 60.00 $ 80.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or, 1000 Branch Circuits $ 35.00 $ 40.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l' ten or portion thereof $ 35.00 3 5 . 00 $ 50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation ' Pump or irrigatibn $ 36.00 ' Sign/Outline Lightinv $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 35.00 I. I) 1 Ii. 7 'i