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HomeMy WebLinkAboutPermit Electrical 1991-12-16 (4) :", . 225 FIFTH, STREET " SPRINGFIELo~ 'OREGON'9747j INSPECTIO~ REO~ST: 726-3769 OFFICE: " 1'26-3759 i. ,._~OCAijQN.. OF .:rNSTAL~TIO~ ,/ ','-, .... ?, ", I ).-.. \ ,,"? <; if ~ ( I , / LEGAL, DESCRIPTIOR " ' " d'..;;~ r':~ ,h;;~;;~;'C;~/JI'~ ~,"'. 3. A. JOB DESCRIPTION ' J7~:?-, ",'S s eo 0/360 Pe~mits are non-transferable and expire ff work is not started within 180 days, ,of issuance or if work is suspended for 180 days. ' ,,' ",. 2. cONTRActoR 'INSTALLATION ONLY B. E'lectric~l' ;Co~ltr~c~orf'f~C_~ ~:~e~ ~ lt~{- , - , " ' ~ " , .. Add'ress ~6 .:el>-)C 1\1 city c.,j<C'......~~.~u~I'''''Phone ?yJ(.-~/oiV Supervisor License Number 55 7.6 ~ Expiration Date /0 /, J 92--' I I Constr Contr. Number &5c':>OS C. Expiration Date ~ // 3/ '7 S 'I I' Signature of Supervising Electrician JL?....~~ a~~~ ' C"' ' Owners NarJie _J..f-v) T, "L'f .. Address ,S-3 ~<"' j/tt~,.~, h-~,{-, A- City qp[J? Phone ?cf7- <(? r , OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: , . --------------------------------------- 'DATE: '/Z -/0_ - '71 RECEIPT #: ~ 3~,,~ ' RECEIVED BY: pf/ /J/.1'?/l '-'{ .' , S...IIN~FII::LD :: ~,Af " ,~, " 'E'tECTRICAL PERMIT APPLICATION , " 'City Job Number 1/ /4~/ , , . COHPLETEFEE 'SCHEDULE BELOV . ' "'-", ' " ',", New Residential-Single or, , Multi-Famqy per ,~welling 'unit. , ' Servic~ In6ludedi , , " -"t' . ," ',I: ' :'; ",-,:", 'i" Items" ~,Cost Sum , 1000 sq.f t. or less Ea~h ~ddltional 500 sq.ft or portion therebf "'" : " , Each Manuf'd Home or Mod(tlar': Dwell ing Ser~t~e'6i"F~~der "I ' ," " ,; $ 85.00 ,",', '$ 15.00 /: , , 0-'2) tfa $ 40.00 servi.ces' or Fee:ders r'nstallation, Alterations or Reloca d on: " '" " ' , , " - ";' j' 200 amps or less"': , 20f ~mp~ to AOO',am~~' 401 amp~ to 600~mps 601 amps to 1000 a'nips Over 1000 amps/~~lts ReconnectOnly , $ ~O.QO, $. 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders , Installation, Alteration or Relocation 200 amps or iess 201 amps to 400 amps Over 401 to 600 amps Over 600 ampsnr 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Ci,rcui t 'Each Additional Circuit or with Service ~r 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 Li~itedEnergy/Comm $ 36.00 5. SUBTOTAL OF ABOVE M h 5% State Surcharge L' 2.;0"0 TOTAL 4:2 O'iiJ' "