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HomeMy WebLinkAboutPermit Signage 1991-4-17 .m.m .-. '1nature of Supervising Electrician .h1M'~ € I (22 ~tr\D, -Branch- Circui ts' . o~~~rsNa~e~' ") ,~~ )~ , Address:L.~n &") ~Wfl-;~~ City \\~QJ\d. Phonelo24--~(6t3 OVNER INSTALLATION ~~ 1._ "... 225 I'IFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. ~({~~ I~STf\~t\ 9- ~ ) LEGAL D~~)~IpN r"'\ n, D \ \1.0'7-- \. l )\-\ L~ ~BQ~~fi~k ~ ~cr~-- Permits are non-~sferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractorG?~\\\~~ Addrer" 483S {\J f--.: ~(\<' ~ City _~,'O'\\ ~() vxi Phone r SUPTfvisor L~cense Nu~1 ' 01 &;- IOc..oCLs....' I Expiration Date \t:J ( q0 Constr Contr, Number_; 1).:3-4 zz--- m___ . Expiration Date .--.JL 9 ~ The installation is being, made on property I own which is not intended for sale, lease or rent. Owners Signature: ---------~--~----B\----------------- -- -- on .... ,-..- ,.... -lJ" '1'_'" ----,... - .., DATE: '. l .--'". 'RECEIfi ll: J' I . . \<4'II~ RECEIVED DY: ~ \ ry()" .. -. spnlNCFIELD I ELECTRICAL PERIIIT APPLICATION Ci ty Job Number q \ () 3 to \ 3, COMPLETE FEE SCHEDULE BELOY' A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 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 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 S 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 201 amps.to 400 amps Over 401 to 600 amps Over 600 amps or 1000 - $.35,00 $ 40,00 $ 80,00 volts see "B" above New, Alteration 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 Sign/Outline Lighting ..LJ.. Signal Circuit or limited energy panel $ 36.00 5._.. SUBTOTAL ,.01' -ABOVE_____.....___1.Q..O,O 5% State Surcharge '0. toO TOTAL' '. ... --=:] Fj. i an $ 36.00 $ 36.00"~.c..-0