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HomeMy WebLinkAboutPermit Electrical 1991-4-18 , ~ .~'("I'IU'''', " 'r , , ,- '" 'e,;, "2i'J1~"~'''1<C''~'; fg~~l{ t>J b i!:J'J,rl f) J;i.f. i;J;; n ri I =i f1{ D]I () J;;'::( ~ll.,~~~.' :,f ',!,.:..~~,.f/"ff~~~t1'~~~'~ifJ t:P'''''l' 11'" '" '.'" · "', ~iP ' ' 1'~-,;",~,\,::,'~c<" ~.. 225 FIFTH STREET 'SPRINGFIELD, OREGON 97477 , : INSPECTION REQUEST: 726-3769 OFFICE: ,726-3759 1. ,LOC~IONOF .z~TJiJ.LAT1;ON ' l O~~ \'\ '0.). .h LEGAL p"E~].'TION ' \~n'r1-.7')q-~\ ()~ . -._' -- J.9,B DE.sqtrP;l;IOfi . ..J- c<J-/I) ('..{Jl(lLu.An 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. CONTIlACTOR INSTALLATION ONLY n. Electrical Contractor', 0 ~ S Addres~ DC) \?JCJ.L \4~Z-- , ' Ci ty~\fCQJ'Phone\4 \ -V~ , Supervisor Licens~ Number \ LQ~loS. ' Expiration Date ,\,~ 'Cons'tr Contr. Number a~eAq, C. Expiration Date 0.,'/\ Iq~ aA'rcpZ;'..<<id," . D. Owners Name ' BZtlh~Pa-Y~! Address 'P. () _ 87J1} () City --rklA.K~ Phone 7t.{fofL/0/ mINER INSTALLATION The installation is being, made on property I own which is not intended for sale, lease or rent: l. Ovners Signature: ,~' , _L~____________________:____________ DATE: Lf - I r -1/ RECEIn #: J<17CI/ REcr.nnm ny. dfV~ I ELECTRICAL PERMIT APPLICATION Ci ty Job Number ,q I 00/-5 3. COMPLETE FEE SCHEDULE, nELOV """. '* I terns Cos t Sum A. New Residential-Single or , Multi-Family per dwelling Service Included: 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 35.00 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 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 Branch Circuits $ 35.00 $ 40.00 $ 80.00 vol t's see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting , Signal Circui t or limited,energy panel One Circuit , ,Two, to ten Circui ts Each Addt'l ten or portion thereof E. 5. StmTOTAL OF AnOVE 5% State Surcharge TOTAL $ 35.00 -I- $ 50.00 $ 15.00 5{./""'"" not included)' $ 36.00 $ 36.00 $ 36.00 , ' 50~ - - 61. '==>v ..,~ . =-J)