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HomeMy WebLinkAboutPermit Electrical 1990-10-31 r ti... J~.' , 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 97477 '726-3769 1. LOCATION OF INSTALLATION ~O {}...O 'i'YI rU ir\l llt.. LEGAL DESCRIPTION , JOB DESCRI~IO~ f . ., '-,9 L', M.._'_ ~~~~~ Per~its a~ non-tran~erable and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. .... 2. CONTRACTOR INSTALLATION ONLY Electrical Contractorc,kS POOnTI1"~1 tfm~.. , I Address p.O. fur/. l4-g1... City~t'DOrJ.l Phone_74/--:lJ.'A30 Supervisor License Number I b Z b S Expiration Date 10 -1- q {)..., Constr Contr. Number 10 -/4c Expiration Date 10 - I -q I' Si~e of~~erv~~ Electrician t:/.A~g 70~ .....- O~ INSTA~~TION ~ Name Address City Phone The installation 'is being made on property I o~n ~hich is not intended for sale, lease or rent~ Ovners Signature: DATE: /tP.;3'I'~~_ RECEIPT #: /~~.~ ~_ RECEIVED BY:, /~.-&~--. I /> - ,.. - ----..,...- - ELECTRICAL PERKIT APPLICATION 3. , Ci ty Job Number 9t:> n ~ COMPLETE FEE SCHEDULE BELOV 1< Ne~ Residential-Single or '."i-',."y p" '."'!" .",. . . Service Included: A. Items Cost SUIn 1500 sq.ft. or less $ 85.00 Each additional 500 . .' sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular D~elling Service or Feeder $ 35.00 B. Services or teeders (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 $ 80.00 $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 D. Branch Circuits New, Alteration or Extension Per Panel One Circuit T~o to ten Circuits Each Addt'l ten or portion thereof $ 35.00 ----I- $ 50.00 $ 15.00 So.oo E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Sign/Outline Lightin~ $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 5"0 . or-, :2.50 .'i1.5'0