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HomeMy WebLinkAboutPermit Electrical 1991-11-15 r/ 225 FIITH STREET 'SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 2: //~)I;;?~~'~ _~ P . LEGAL DESCRIPTION /., ..c ?-:;} "5"- ~ .t:::::>/<: t::>/ JOB DESCRIPTION Fe. FZT. ~ P;t::;lit /"' _- - f_~_. 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 Elect'rical Contractor J?,t.......l/~C)?O;;: Address "2":)92 /' €~~, ~Cy.p City e~~Phone ~C/"? -7~Cf;:> Supervisor License Number :?~~ Expiration Date /0>-/ """72, / 7 <:. :>2..., ~~-?-;L Constr Contr. Number Expiration Date ~t~re of ~rvising Electrician )KAdvt:. ~-&l/Pld~ ~' I' r- w ers Name Address City Phone O\INER INSTALLATION The installation is being made on -property I own which is not intended for sale, lease or rent. Owners Signature: DATE: - RECEIPT If: RECEIVED BY: L1~.L/l.:77 C7t? ;;:(/;;2. ~/. ' /1~ .. City Job Number 9//::?€:: ? 3. New Residential-Single or )f. ::::.: ::,:,,,, .;.'- Service Included: Items Cost Sum A. ,1000 sq.ft.- or less ,Each additional 500 sq. Oft or_ portion thereof Each Manuf'd Home or Modular Owelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. _ Services or Feeders ~nstallation, Alterations or Relocation: 200 amps or less I $ 50.00 5"'a>.- 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 ampsor-1000 volts $ 40.00 $ 55.00 $ 80.00 see fiB" above . D. Branch Circuits New, Alteration or Extension Per Panel One Circui t $ 35.00 -Each Additional -Circuit or with Service or Feeder Permit ,,:?,_ $ 2:00 ~.. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Liinited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ///.7_~ 5"'. $<=> 1/ 5: ~