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HomeMy WebLinkAboutPermit Electrical 1990-9-28 ..~..,...- ~ ~I . .. . ~ ~ 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION ,SPRINGFIELO, OREGON 97477 INSPECTION REQUEST: 726~3769 City Job Number ~~/~~~ OFFICE: 726-3759 i. ,. LOCATION Q.f INSTALLATIOJ} _ , --::< / =< 8 ~~ 7-" 'LJY LEGAL DESCRIPTION 3. COMPLETE FEE SCHEDULE BELOV A. New Residential~Single or Multi....Family per dwelling unit. Service Included: ',', JOB DESCRI~ION , ' ',1500 sq. ft. or less Crff'"'hP .//?fcu-Pr-~ ~.1"AYW-~Ch additional 500 - . ~ . , ~ " 'sq. ft or portion Permits are non-transferable and'expire thereof if work is not started within 180 days Each Manuf'd Home or of issuance or if work is, suspen~ed for Modular Dwelling 180 da~s. Service or Feeder 2.' CONTRACTOR INSTALLATION ONLY B. ~ . , Electrical Contractor [~frt::J C;CFi2;7-.. Address B~~..?> /~~-17L/$~,~ Ci ty '~~ki? Phone 7~ _.:::=;?g y? Supervisor License Number 7:3~'" 5 Expiration Date It ems Cost , Sum $ 85.00 $ 15.00 $ 35.00 Services or Feeders'(10 Branch Circuits .included). Installation, Alterations or. Reloca ti on: $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 , t~nstr Contr. Number ~-5c:?:::; C.Temporary'Services or Feeders Installation,' Alter~tion o~ Relocation Signature of Supervising Electrician '~' '/~ ~~~h'/ ,,~ ~ners ~e - / Address Ci ty , ! Phone Expiration Date , ~~-:<~-9~ OWER INSTALLATION' The installation is being made on property I own which is nOt intended for ~ale, lease or rent. Own~rs Signature: --------------------------------------~ ' , DATE: 9~-~c::> '_ ' RECEIPT 4:_/ .~ ',~/ _ , , RECEIVED ,BY: ---::r~.~ 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 200 amps or less, " $ 35.00 201 amps to ,400 amps $ 40.00 Over 401 to' 600 amps $ 80.00 Ov.r 600 amps or'1000 volts see "B" above D. Branch Circuits , , New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation ' Pump or irrig~tion Sign/Outline Lighting Signal Circuit or ,limited energy panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof E. 5. SUBTOTAL OF ABOVE 5% State Su~charge TOTAL $ 35.00 -::[5: lot!> $50.00 $ 15.00' I no t included) $ 36.00 $ 36~00 $ 36.00 ? S~ _(7 / . ?....5'" ...3b. 7 S'