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HomeMy WebLinkAboutPermit Electrical 1991-5-28 SPJlINGFIELD _ ".. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. L4A~p:f 9{ I~ALLATIqN.4-.- ~ 1..-\' \ l\I\\.;-')\)\Qo > , . . CJ \~~f-).g~~ ()\~t:O ...J,OB DESCBIfTION 0~_ \. A-< U)\(\ \) ",f(\Q ./ 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 Qt)<).,Q C'.~ Address ~O.,o\"I() \)\ l-\~ City f'l ~ Xlo '- PhonelD~ln-l'Q~ Supervisor License Number \ Sl ~S Expiration Date \DI \ IqQ. ~4~\ ~ \8D!q I Constr Contr. Number Expiration Date Signatu~Supervising Electrician /~./Z_ , owner: ;ame \\(\j;)s---\-ffio , Address 9() ~', '2f) ln~l~ City 9110)J10 Phonel n~-D..CSl 01 OIINER INS~ALLATION \ The installation is being, made on property, I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~==-~-~~~-~~~C1r.~------~----~ RECEIt'T ,: _lJ./ ..i'1~ ' RECEIVED BY:, ('''-;7f'11 yx- " -. .-X-.-- ELECTRICAL PERMIT APPLICATION City Job Number G\lo4l&\ 3. COMPLETE FEE SCHEDULE BELOW A. New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cas t Sum 1500 sq. f to or less V" $ 85. 00 ~ext1 Each additional 500 'sq. ft or portion thereof --1-- $ 15.00 ~~ Each Manuf'd Home or Modular Dwelling Service or Feeder $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less $ 35.00 101 amps to 400 amps $ 60.00 401 amps to 600 amps $ 90.00 601 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 D. 200 amps or less I $ 35.00 ~t;{ 201 amps to 400 amps $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above 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 J -:z, '5.0-0 5% State Surcharge , /-.:T~ TOTAL ,/'/1,1, '15'