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HomeMy WebLinkAboutPermit Electrical 1990-11-20 . 225 FIFTn STREET ,SPRINGFIELD. OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1 ~, LOCATION OF INSTAL~ION n /' 39 q 1:) /l1l~.iY('trfa gg LEGAL DESCRIPTION JOB DESCRIFTION Permits are non-transferable and expire if york is not started yithin 180 days of fssuance or if york is. suspenlled for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~0 -""f~ Addr~ss \)[) m 5f\ \ '. Cityflml1n..J Phone C(~-llrH4 Supervisor License Number ~O~:s EXPira'tion Da'te I ()() jq {L Cortstr Contr.Number ( o\Q~Cf Expiration Date (0 ~I Ovners Signature: ~~~;~-- I '-:-~-r0j 0, ~--~ RECElu .: 'j .- - '91'-1 t - RECEIVED BY: M (,/ 1 A' . ~ I t'"..:....$...;;ri'*"'~~-'_:~" il:.~i1;';.:.::.t....~~.s:.-.:.l.;:"'=-c~: ;'-'.'.,:',;~.,,",j :" '"::>').:..a~...~;:~' ~~_;;,,, ELECTRICAL PEiu!rr APPLICATION Ci ty Job Number ' tf!J / () (/I 7 3. COHPLETE FEE SCUEDULE BELOIo' * A., New Residential-Single or Hulti-Family per dwelling unit. Service Included: 1500 sq.ft. or less Each additional 500 sq. ft o~. portion thereof . ' Each Hanuf'd Home or Modular Dwelling Service or Feeder B. Items Cost :Sum $ 85.00 $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation. Alterations or.Relocation: $ 35.00 $ 60.00 , $ 90.00' $130.00 $300.00 ' . $ 35.00 C. Temporary Services or Feeders Installation, Alteration 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 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 "D" 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' . Name~.~M& ~~. Branch Circuits Address clJ'q.'0 ~\\5\..~r\ .-Pre New; 'Alteration or Extensi~n Per Panel swn '~ne Circuit $ 35.00 ' City ,Phone . 0 to ten Circuits ~ $,50.00 ~.()C) , . ch Addt'l ten or .' 01lNER INSTALLATION' portion thereof . $'15.00 ' . The installation is being made on E. Miscellaneous (Service/feeder not incl~d~d) property'I oYn yhich is not intended -Each installation .' for, sale, lease or rent. Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel ,.....- .'. -. .~.' -" ':"~ ~ above $ 36.00 $36.00 $ 36.00 I[D~ ,P<, . Q:J --lO~.cU " _._.~...._''',_i_,:,:..:o.o"",-,_