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HomeMy WebLinkAboutPermit Electrical 1995-9-21 r . . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REOUEST: OFFICE: 726-3759 1. LOCATION OF INSTAI..LATION . /;;.. ? 3 /7;0:/11/ 5ff'.-'>d I 97477 726-3769 LEGAL DESCRIPT~~N If O~ :< ,I) '1 / O~700 JOB DESCRIPTION . AP_~ r/t",,~~/A- /,,;oyf'v , Permi ts are non-transferable .and expire jf work is not started within 180 days of issuance or if work is suspended for lBO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ABLE ELECTRIC /,ddress 5511 MAIN Ci ty SPRINGFIELD Phone 726-6701 SuperviSal' License Number 30235 Expiration Date 10-1-96' Constr Contt.. Number 92506 7-16-9~ Expiration Date Signature of Supervising Electrician ~~;:J:- v~ -.J Uwners Naill" (-? /$"./Vc..,L!p 7/>. t c. r Address City Phone OIlNER INSTALLA'fION The installation is being made on property 1 own which is not intended for sale, lease or rent. Owners Signature: ~~TE ~ ---q-7Jl-t(f------------------ RECEIPT ff:' U h () '1 L./.. RECEIVED llY:iJ~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number q 5 15~ SA ~ 3. COMPLETE FEE SCHEDULE BELO~ A. New Residential-Single or Multi-Family per dwelling Service Included: Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less ,/ 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Oyer 1000 amps/volts Reconnect Only uni t. Cost Sum S 85.00 S 15.00 $ 40.00 $ 50.00 5~ {If) $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00: " ", $ 2.00 : E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 5"',c>t? .2.5-.:0 /$0 ~(.A.I:> l>