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HomeMy WebLinkAboutPermit Electrical 1991-8-21 $1.'llt'41;.t:I~LU ;r:-.: !'C~ ti, 225 FIITH STREET . , 'r>:t!i""" "~ ' " ELECTIUCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477,. W1 ""c-~\li1l~.., Il\rv\ ~--1 INSPECTION REQUEST: ~26-~.clr.. D "'r-lii;'lill8~ty Job Number '-1, I rt-" )_1 OFFICE: 726-3759 t,., . - .p AUIII"" " I '-'--3.. COMPLETE FEE SCllEDlJLE DELOV 1. \~C,gI,QB OF~TALLATroa9Jl..~" ~:J ('-A ffi f\J )() 7" A. \~~~~g~N()\qCO \ JOB D~SCRIPTIOrt (' \ \\ (\Q 9. .II . J Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. New Residential-Single or lti-Family per dwelling SerVl e Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion , thereof Each Manuf'd Home or Modular Dwelling Service or Feeder uni t. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders gjr' __~ ~^. ~ Installation, Alterations or Electrical Contractor~ ~ ~'l )( ~ Relocation: Addressd150 \. -St-_ 200 amps or less $ 50.00 C I v-:\ ) AOA lZ10 '201 amps to 400 amps $ 60.00 City ( A ~/ Phone~~ ~ l) 401 amps to 600 amps $100.00 t\ /Y1 n r' C' 601 amps to 1000 amps $130.00 superv;sor Lfiense Number ~~ ~ ) Over 1000 amps/volts $300.00 I" . \ . Q0, Reconnect Only $ 40.00 Expiration Date \ ~ ) '\ .A \~ C. Temporary Services or Feeders Constr Contr. Number '-t' \,)"'1 \ Installation, Alteration or Relocation (),~.~ Expiration Date Si ""'" of ~~ Owners Name G-o fYJ . ~()l\ ()\ olfLL Address \-:sP>~ CDt~ _ 7 City ~()l Phone 141-~ " OVNER IN~ALLATION The installation is being made on E. property I own which is not intended for sale, lease or rent. Ovners Signature: DATE: C~----- .:.J I r~q-r------ 5. RECEIPT~: Cf\ '~}I r.:r/g;//A ' RECEIVED DY: I... ~ ~ - / 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 D. Branch Circuits , One Circuit Each Additional Circuit or with Service or Feeder Permit $ 40.00 $ 55.00 $ 80.00 volts see "B" above \ $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,!3-'\.c::C) J. '/ "\ /""l1cJ. )"