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HomeMy WebLinkAboutPermit Electrical 1991-10-22 r, 225 FIFTII S."",,,,. SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OPFICE: 726-3759 1. LpCATION OF INS'tALLATION/G'~",.;.:;\ Rh_~~/,v Sf /7:ff't 'y. - - ~ LEGAL DESCRIPTION no'7,:::':l~4L ,- 07/CC;; JOB PESCRIPTION \ 511.N /N<r<Al.LATtcnJ 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 (T,c (?\.J <::::16v\:J Address 0'9C61{) C._P/+ , City ('f'Je.O&<'T Phone ~"i5 322.0 Supervisor License Number 359 5 I , .- /6/(/6(3 Constr Contr. Number 6'4''5/-L( 2)c; 2.- ( . Signature of Supervising Electrician I- I frc:r6Q Expiration Date Expiration Date Owners Name Address City Phone OIINER INSTALLATION The installation is being made on -property I own which is not intended for sale, lease or rent. . Owners Signature: .DA~E~--7~-:~~~~1I--------------- RECEIPT I: 7..lLP(p & RECEIVED BY: c)..,~ ~'~"INl.i';;II.::LU ,ti1 ELECTRICAL.PERHIT APPLICATION City Job Number q II I q z- * COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum .1000 sq.ft. or less $ 85.00 .Each additional 500 Sq. .ft or .portion thereof $ 15.00 Each Manuf'd Home or Modular.Dwelling . Service or Feeder $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or. 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Ci.rcui t . $ 35.00 .Each Additional Circuit or with Service or Feeder Permit $ 2.00 E. MisceU.aneous (Service/feeder -Each installation I Pump or irrigation _ Sign/Outline Lighting sai Limited Energy/Res ~ LiinitedEnergy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 If.p,rj(J 7., t50 LI ~ ,01)