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HomeMy WebLinkAboutPermit Electrical 1990-12-14 .. - SPFUAIEUJ ~....:."..". 225 FInn STREET ,SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1 ~ LOCATION, OF INSTALLf.TI9N "\ '~',qD0 \ mn n l":.f){c1 } LEGAL DESClUPTIOlL . 'J f)(),~~ ~L~ ()()4{D. JOB DESCRIPTION :/1157)0/ J' f" (.p L C 'fJX 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 INSTALLATI!)N ONLY Electrical Contractor FAq/.e:l?;1II ";;.q~ Addr~ss 7cJO' 1..:Jw1.:;, c;Q 1./ CityF;I'1Y>~ Phone OS; I!;J?.,:KJ~ Supervisor License Number ~4' <:~ Expiration Da'te..LrJ /",,"1 / ~ Co~str Contr. Number ~L5-;r~~ Expiration Date I {) . /4. C( ( Signature o~pe~~c)an 71L/d:?- . '-- u. . D Owners Name J ~~ . J)OI)'Vl) l,\\.r:) f\t~ . , Address !Jq { 0 ~ '- ~() fI:1lJJ do. /!~ City_ WF Phone J?4.1J-II?'C)'CfJ OVNER INSTALLATION' The installation is being made on property'I own which is not intended for. sale, lease or rent. Ovners Signature: ~~~;~------\}:f~l\~~~----~---~--. 5. RECElr 1 I: '., .J "!'\"l. \ /-~ RECEIVED BY: \::.' }l )\A..J --- ~:.".-fi.iz;s~;j,"':.::'~-'~~:';.L"~_~~~'-!;$.;;,.'-..;:..;'~':::~:-..~~-=._:c:..' ,,~::_._. . ELECTRICAL PERHrr APPLICATION City Job Number ern 10/4 3. COKPLETE FEE SCIlEDULE BELOV * Cost . Sum A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1500 sq.ft. or less $ 85.00 Each additional 500 sq, ft or portion thereof . $ 15.00 Each Manuf'd Home or ----- , Modular Dvelling 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 $ 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'lOOO volts see "B" above Branch Circuits New; ~lteration 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 i I . $ 36'.00 0l:1l0'(.L.1. Signal Circui t or -.,.-:-., . . limited energy panel $ 36.00 ;!;1ft6 . 1l:- t 0 Fst) SUBTOTAL OF ABOVE 5% State Surcharge , TOTAL