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HomeMy WebLinkAboutPermit Electrical 1990-10-18 '" . t-j-/:::;S, .u! 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPEcrION REQUEST: 726-3769 OFFICE: 726-3759 1 ~ LOCATION OF INSTALLATION tJ'D7 I fhO_i ~ Sf- . ELEC'fRICAL PERHIT APPLICATION City Job Number q()j{)1() 3. COMPLETE FEE SCHEDULE BELOV ~ A. Nev Residential-Single or- . _ ~" Multi-Family per dwelling uni t. .~ .. Service Included: " LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of fssuance or if work is. Suspended for 180 days. . Items 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Cost Sum. $ 85.00 $ 15.00 $ 35.00 x 2. CONTRACTOR INSTALLATI~N ONLY B. Services or Feeders (10 Branch Circuits . n. ~~included). Installation, Alterations . Electrical Contractor (/;I ,{".........,-.. 1<...>.... or .Relocation: Addr~ssP.o A...., [( <V......\ t-cV,t~~ Ci ty . Phone '7t/C-ffe><f'r " Supervisor License Number ~!.'9" .,) Expiration Date /0/, /7'1- . ,-- 'f..-Constr Contr. Number t: ~o::> 100 amps or less 101 amps to 400 amps- 1 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 4 $ 35.00 ~ $ 60.00 .!.J;!,J1 $ 90.00 $130.00 $300.00 $ 35.00 ~~ C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 2.-1'2,-511 ~ Si~~ure of Supervising Electrician \~KP't11J4d \ Owners Name~ Address 2'6 L{ n. VJ .;[.J1i.. . . 't'- Cityf]j;,j/4..."I Phone 2"'27-1)(./ -i- OVNER INSTALLAg?n2-Q9 200 amps or less 201 amps to 400 amps Over 401 to. 600 amps Over 600 amps or.1000 volts ~ranch Circuits New, -~ltera tion The installation is being made on property .1 own which is not intended for sale, lease or rent. Owners Signature: ~~;;~=-JO-.-{8-.-qr RECEIrT ':IM\O~ RECEIVED BY: U'ill 'U l'\ $ 35.00 $ 40.00 $ 80.00 see "B" above or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof E. $ 35.00 $.50.00 $ 15.00 Miscellaneous (Service/feeder not inclUded) -Each installation . Pump or irrigation $ 36.00 Sign/Outline Lighting~ $ 36.00 Signal Circuit or limited energy panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 l rf)dO ~ -5'00 ;<'::;"(0 3'~