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HomeMy WebLinkAboutPermit Electrical 1990-11-15 ;. ~ '. "'/~I, . I 225 FIFTD STREET ,SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:' 726-3769 OFFICE: 7~6-3759 1 ~. L09-~ON OF ,INST~TION 167Z-4::J- , ,-M (] I tll ,:)'f- LEGAL DESCRIPTION . /703 ?,!)L! !-()c..[96D JOB DE~CRIPTION . tl do{ trY7 e. r>;Y....f...U,>f- 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 INSTALLATI~N ONLY Electrical Contractor(;eravJ Glf>(,~ Address 27'1(7 r)~/r ~?b city*,i:d Phone l4/-ZfflD Supervisor License Number '~[,;h..J S . . Exp1tatinn Da'te 'I () -) -92- Co~str Contr. Number '0'-/ b q [) Expiration Date / / -I q -1 D Signature of Supervising Electrician }f~J-1~L. ' . Owners Naf1re)(Ll )"u.rr;h 8Jr/.u..&1d4rf:;- Address!07Z- Ma/n SI- Ci ty 'Spftd Phone OVNER INSTALLATION' The installation is being made on property '1 own which is not intended for. sale, lease or ren t. . Owners Signature: ~~~: _lL- !ti.=1./) · RECEIPT .: 1'>( I L[ '-I RECEIVED BY: -!J )/l~ , ELECTRICAL PERHrr APPLICATION City job Number ({ () / -';2, X C) f v '-. 3. COHPLETE FEE SCHEDULE BELOV ' A. New Residential-Single or' Hulti-Family per dwelling unit.' Service Included: . Items Cost 1500 sq.ft. or less Each additional 500 sq. ft or. portion thereof ' Each Hanuf'd Home or Modular Dwelling Service or Feeder 'Sum $ 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 $ 35.00 $ 60.00 . $ 90.00 S130.00 , $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; ~lteration or Extension Per Panel One Circui t Two to ten Circuits Each Addt'l ten or portion thereof x $ 35.00 ~ $,50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation . Pump .or irrigation Sign/Outline Lighting' Signal Circuit or limited energy panel 5. SUBTOTAL OF ABOVE 5% State Surcharge, TOTAL $ 36.00 $36.00 $ 36.00 3'J.CV /.7r:; ?;/o.,r::;