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HomeMy WebLinkAboutPermit Electrical 1991-3-4 225 <""u STREET . '. . SPRINGFIELD, OREGON 97477 . INSPECTION REQUEST: .726-3769 OFFICE: .726-3759 , .. JOB DESCRIPTION .s Ie....) (r<=:,-..JT7 J/ ')e=: 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. CONTRAClOR INSTALLATION ONLY B. Electrical Contractor~~j.~~77~\'~lIl~ Address IJ/?P'Jr))( ~.31 - City~~ Phone~~(.,t~ 11o?1 Supervisor License Number ~~ .~ .~. Expiration Date /0 1<1~ . . , .". 'Constr Contr. Number. _~'l?{'""){"') f Expir.ation Date /0 !q/ Signature of Supervising Electrician 7~~jf)j~ Owners Nam~ApR-F:At.m") v:: A""''''' .. . - Address ./)(";h /Y)Au.:::) Sr. (:i ty :::5pF7 A. . Phone.:J5l-;. s7t./L. . OVNER INSTALLATION The.installation is being. made on property. I.own which is .not.intended . for sale, lease or rent. OWners Siitnature:. DATE' 3':':4 -'1/ . - - --..l. . RECEIPl' I: tit ?-:,q-z., RECEIVED BY: (.c~ ..~ / d'-..7- '-' ., ELECTRICAL PERHIT APPLICATION . City Job.Number' q 10 i IS 3. COMPLETE FEE SCHEDULE 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 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 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 D. Branch Circuits $ 35.00 $ 40.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit . . Two. to ten Circui ts Each. Addt'l ten or portion thereof $ 35.00 $ 50.00 $15.00 E; Miscellaneous (Service/feeder not included). -Each installation . Pump or irrigation $ 36.00 Sign/Outline Lighting--4-- $.36.00 ~~,/n . Signal Ci rcuit or . . .. limited. energy panel $ 36.00 Rlo .CP I,!\U, ..~-. . S<() 5. '--y" SUBTOTAL OF ABOVE 5% State Surcharge TOTAL