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HomeMy WebLinkAboutPermit Electrical 1991-2-6 ~ 225 r~r~o ~~A66. SPRINGFIELD, OREGON 97477 . .INSPECTION REQUEST: .726-3769 OFFICE: .726-3759 '1. LOCATION OF INSTALLATION. 1..'B'"i'>.l M""'-' "Sr_ LEGAL DESCRIPTION A.<V\8>..\ G.~ . JOB DESCRIPTION 6.eu-t'-' <.. S I ~...l I......... ........<.-A.,-. 0,.-1 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. " ELECTRICAL PERHIT APPLICATION . ~. ;. 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 2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders (10 Branch Circuits included), Installation, Alterations . Electrical Contractor -j~ '7,....l<?'1<,f6N\<, or Relocation: ..Address lloi~ \J'o.J. 1M Ate. Ci ty 6u"G-16 61Z.Phone '-18'-1-,-\0'1'2. Supervisor License Number 2.D - "2.<;, c:. L <; :.. Expiration Date tU:-I-'\\ . .Constr Contr. Number f, 7.-'il (1... "Expiration Date 1- \ - '\ 1... . Signa lure of Supervising. Elec trician . - ;. ~~. {J"",~ .{/' . .owners Name Address. City Phone . OVNER INSTALLATION .The installation is being. made on property I own which is not. intended . for sale, lease or rent. OWners Signature: DATE:_ _. ;;;;'-~ ~/ . R..."6U'!" If: /q~9. RECEIVED BY: .-"': 7~---- .t:2:&.- -' .... . 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 $ 35.00 $ 40.00 $ 80,00 see liB" above D. 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 $ 36.00 Sign/Outline Lighting J $ 36.06. .~ Signal Circuit or limi ted energy panel $ 36.00 . 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL '%-. -----; . 'gO -::r7 RO