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HomeMy WebLinkAboutPermit Electrical 1991-2-14 v SpnlNGFIELD 225 FIFTH STREET . SPRINGFIELD, OREGON 97417 ,INSPECTION REQUEST: ,726-3769 OFFICE: ,726-3759 1. 'I,09\T.l.Olf J1F INSTALLATION, . ' , r:7 rUJ /\A fA iYl 'sf- LEGAL DESCRIPTION 17 D 1- 3""3 LI I - 0 \ 9 () I JOB DESCRIPTION ICO cMJ <.IA l> Q41/\~_C \ 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 Electrical Contractor' h)t/ " 1c1I.ev5 Address 7.....P( ~ IV\. nll1 Vlr<2..- City r:: lA~Phone Lfx- '5 -D7 zz, Supervisor License Number 7~C{ 7 [f; , {D~/-c;~ Expiration Date 'Constr Co~tr. Number 64 z.......ctb Expiration Date /2 - I () - C; / Signature of Supervising Electrician "f?Ade ~A ',," " owne: Name.1l1 C l) -11/ J ~ ~p :;;(jIJCe. Address " f) 7 Zj>J '/lA (CL'Vl S-r City ~()Plol" Phone OWER INSTALLATION The installation is being. made on property I ,own which is not intended for sale, lease or rent. Owners Signature: DATE: Z ' I LJ J1/ , RECEIPT i: f "I;? c::,X' RECEIVED BY: (1 I-;A/J; ELECTRICAL PERKIT APPLICATION City Job Number q I 0/1 C; 3. COMPLETE FEE SCDEDULE BELOV 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 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 / c.a .<.5 $ 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 $ 35.00 201 amps to 400 amps $ 40.00 Over 401 to 600 amps' $ 80,00 Over 600 amps or 1000 volts see "B" above Branch Circuits 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 , Signal Circui t or limited energy panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 $ 36.00 $ 36,00 ?h.ot) i -7C? 6&;.7&;