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HomeMy WebLinkAboutPermit Electrical 1991-4-5 . 225 FIFl'U STREET ELECTRICAL PERMIT APPLICATION . SPRINGFIELD, OREGON 97477 . iNSPECTION REQUEST: 726-3769 City Job Number 9/d:<S/ OFFICE: .726-3759 '1. LOCATION OF INSTALLATION /~3 PPE.""\...n7~.K" , LEGAL DESCRIPTION 1"-eo3'-2~-:2.- ~ ~~~ -, .' JOB DESquPTION . (~~ 5,"c'/~ ;;--0~.&Y-> $'~ 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 INSTALLATION ONLY Electrical contractor~~~~~~ . Address.dr'fP> ~ ('0 1It1n ~ . . Ci ty b..X))(" . Phone <'2.,4 ~.:Jt17 Supervisor Li~nse Number Expiration Date Constr Contr. Number \ 15d-. ~'7).C{ l Expiration Date Signature of ~rvising.Electrician d~dA4~ .. , - / /. Name~~~"':Q' ~RfZ). Address gDO'TOrYnffi..9i:)'(..... . . . . \ . Ci ty ~'a.xd Phone . . OWER INSTALLATION The installation is being. made on property I own which is not intended for sale, lease or rent. Owners Signature. -- ~ DATE: RECEIPT Ii: RECEIVED BY: r------------ . 'S, ~q _ _ 'fA". \l..1lo~) '1'L'l / <,.- 3. COMPLETE FEE SCUEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Items Cos t Sum $ 85.00 $ 15.00 $ 35,00 , I ,. 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 C. $ 35.00 $ 60.00 $ 90.00 $130.00 $300,00 $ 35.00 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 D. Branch Circuits volts $ 35.00 $ 40.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel One Circuit .Two .to ten Circuits Each Addt'l ten or por tion thereof E; 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 ___ $ 50. 00 ~OtTD $ 15.00 not included) $ 36.00 $ 36.00 $ 36.00 50"" 2. f-" J::'., .S"tI