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HomeMy WebLinkAboutPermit Electrical 1991-11-13 225 FIFTH ~.A6G. SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION 01.. INSTALLATION J331 I~)o.vfl LEGAL DESCRIPTION "/1 O"2.,~(." '). -6Y~Dr) JOB DESCJ!.IPTION L \.\, ffil'ltl1l\h m~M S~'tA") 1~f\J1 ~Q Permits are non-transferable and exp~e if york is not started "vi thin 180 days "of issuance or if york is suspended for .180 days. x 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor LlJ~ ~ Address ~a 0 ~ \ s'l ~. Ci ty S~~ Phone ('I <t) ~I QJ superv~sor Lg~nse Number. 34 O? "0 S. Expiration Date 10/1 / q:r... . _"7:. ~ .;:l ';/A~ C. Constr Contr. Number ~ 1.10<-, L . Expiration Date I~ Ii / 1v /"")./;(;,,;;/ ./ / ?iWl) ~~g Electrician Ovners Nanie Addr~ss City" Phone OllNER INSTALLATION The installation is being made on "property I ovn which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE': I! -/3 - '7/ .. A6vGJ.r1 If:~t'3q ~ RECEIVED ny: .r/~ :301.tn"......I~LU City Job Number 9'/ / ~ '5 S 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Items *- Cost Sum .1000 sq.ft. or less ~" $ 85.00 Each additional 500 sq. ft or" portion thereof 2- $ 15.00 Each Manuf'd Home or Modular "Dvelling Service or Feeder $ 40.00 . 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 Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" D. Branch Circuits above New, Alteration ..or Extension Per Panel One Ci..rcuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 sSOIJ $ 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 Liini ted Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ,"S .')~ /.7.j ;::'~.7r