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HomeMy WebLinkAboutPermit Electrical 1991-7-18 : .I 225 FIITU STREET SPRINGFIELD, OREGON 97477 . iNSPECTION REQUEST: 726-3769 OFFICE: .726-3759 1. LOCATION OF INSTALLATION ."7 /9 ~A"'/# ~7 LEGAL DESCRIPTION M<a'~AY?/G ~"_" .. JOB DESCRIPTION , , / f;iq;?V/C'E ~A" kAS,€ &Z:;>G;. ~eLL~ . --- 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 D. Electrical ContractorL/? ?~Mi'::z:?PA'~ I / Address~ 1u&-:>7'" 62 -?"... Ci ty ~;P;CL.n . Phone 7 '/7 ~~ Supervisor License Number :./'-/77 S Expiration Date /,c;-/-q/. Constr Contr. Number O~tbqq Expiration Date /-;;:-/B-q/ Signature'of Supervising. Electrician y Y../L~A~. ','F . Owners Name. Address Ci ty Phone OVNER INSTALLATION' The installation is being, made on property. I own which is not. intended for sale, lease or rent. Owners Signature: -----------, -,~---------- DATE: I. Q_' RECEIPT ii: , If.? RECEIVED BY: ,....> ELECTRICAL PERMIT APPLICATION . - --1-:', I City Job Number9/~Sl9A " 3. ~ ,;. COMPLETE FEE SCUEDULE BELOII A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq;ft. or less Each additional 500 .sq.. ft or portion thereof Eacll Manuf' d Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 35.00 Services or Feeders (10 DranchCircuits included). Installation, Alterations or Relocation, 100 amps or less ---.iL $ 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 200 amps or less / 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or 1000 volts $ 35.00 $ 40.00 $ 80.00 see "B" ~- above -~ D. Branch Circuits New, Alteration or Extension Per Panel One Circuit ,Two .to ten Circuits Each Addt'l ten or portion thereof Q. $ 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 5%.State Surcharge TOTAL Lft>5:-7 7e>."2S' ~2"i: 2C;--