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HomeMy WebLinkAboutPermit Electrical 1991-5-21 spnlNGFIELD I -!.IS'J;jf,1;J;/I"WJ~.'''''.'''''''''.'~::-- ~ ~ ,~",.i';'.~\"'i""'"'' , ~, ",.. .. . ~ .... ...__lo. .. 225 FIFfH STREET SPRINGFIELD, OREGON 97477 INSPECfION REQUEST: 726-3769 OFFICE: '726-3759 1. LOCATION OF INSTALLATION , / S-ot;1; 1YJ.4/AJ d" :SP/l-Nfr:i/J'eIJ J .- LEGAL DESCRIPTION ::Xv /ied,.r ~- J JOB DESCRIPTION "R. e-t1A ,., J. tP. ( Permits are non-transferable and expire if work is not started within 180, days of issuance or if work is suspended for 180 da,Ys. 2. CONTRACfOR INSTALLATION ONLY Electrical contractor~~ ~ Address ~ / 1lJ tU 0 ~ T j / t!- City~~auPhonejYl liS? Supervisor License Number tJ t' 0 S Expiration Date /D -:-r if - 9' r Constr Contr. Number :;L /5/ "3 ______, __Expiration Date ./0--,.(./..,-,9,/- ~ac;J (j S~::ctrician ,. ""-?-{ Owners Name 'R.J. .:=!.,N&'5 Address (J3 /7.s- f}"ule.ehMe 1&' Ci ty .&;r- Phone 4%S" ;1./5',;)... OVNER INSTALLATION - The installation is being, made on property I own which is not intended for sale, lease or rent. Owners Signature: ELECTRICAL PERMIT APPLICATION o,(JO -I 573 City Job Number It /(JI";/ q 3. COMPLETE FEE'SCBEDULE 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 B. Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: E r- 100 amps or less $ 35.00 /0':::' 101 amps to 400 amps $ 60.00 401 amps to 600 amps $ 90.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 S 80.00 volts see "B" above D. " 'Branch Circui ts New, Alteration or Extension Per Panel One Circuit ,Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 I ,$ 15.00 - t-S. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Sign/Outline Lightin~ S 36.00 Signal Circuit or limited energy panel S 36.00 , /,;LlJ ----------------- --------------------- ~ -----..-- DATE:---t:i:.:z{'ztl -.. " ------..----..--. .m_5._.;~~~;~-~~~:~~;------- -/~:t5o..; :!:~-~---.------- - -, RECEIn i: -/ji,j) (-2J? ' ,',' -, , ,- TOTAL' - - - .., - ~.;:;.;, ----:" " , - RECEIVED BY: iL~ /2-(P -00