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HomeMy WebLinkAboutPermit Electrical 1991-3-29 , 225 FIFrII STREET 'SPRINGFIELD, OREGON 97477 ,iNSPECTION REQUEST: 726-3769 OFFICE: ,726-3759 1. LOCATION OF INSrALLATION J\ rw.: \ \ ~~ \)'\~N\C~\.:..x ~~~~ (i)~\~ " JqB )>ESCRIFrION ~~ ( ", ' '-.JULJi X'i- > '-- lJ V -...J\1 1\ ~COIY1. Permits are non-transrable 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 City ,Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature 'of Supervising,Electrician " Owners Name\..\ ~~ ~ Address \\~~~'\~A- City' ~.clri P1.lone t+-1-S~9 OVNER INSTiLLATION' The installation is being, made on property I own which is not intended , for sale, lease or ren t.' Owners Signature: (J'f?;dAAJ c7 ~/ ~~~~-----~/ .~Cf Y \ --------------- ,.r.\,lun i: ~(.' , C-.( ef:.1....... RECEIVED BY: (~.f I'D ) - ELECTRICAL PERMIT APPLICATION City Job Number 3. G\~\4l ofL COMPLETE PEE SCIIEDULE BELOV A. New Residential-Single or I 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 Items Cos t Sum $ 85.00 , $ 15.00 $ 35.00 " B. 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 $ 35.00, $ 60.00 $ 90.00 $130.00 $300.00 $ 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 D. Branch Circuits I $ 35.00 $ 40.00 $ 80.00 volts see "B" above New, Alteration or Extension! Per Panel _ One Ci rcui t $ 35.00 :..: Two, to ten Circuits ......... $ 50.00 ~ Each Addt'l ten or portion thereof $ 15.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited,energy panel E. 5. SUBTOTAL OF ABOVE .5% State Surcharge TOTAL not included) $ 36.00 $ 36.00 $ 36.00 ,~n.OO rV.ty) ~,(). SrJ