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HomeMy WebLinkAboutPermit Electrical 1991-4-23 ,,- SPRI~FIELD S~r~ ohsupexvising Electrician,' \'f/j(/t.)G I~ /\ , (\ ~ ~ D Branch Circuits Owners Namecrt1~li-,y' C' L on ':, New, nteration ,or Extension Per Panel Address \ 0 ~-\ ~ 0....::::v\ j '. . . City 'Shf\lt PhO': l41-xiot O~~TALLATION 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726~3769 OFFICE:726~759 .i. LOCAnON OF INST~TION Ii-i..'" _ '1 ~U\oS ,~~Slcr 1'-'~ \ ~tj~D~7J() D m \ 4 - , JOB DES~IO~,..j 5 ~ \K'_ QJJ\ ( A O.AI it'.J2-, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work J& suspen~ed for 180 days. 2. CONTRACTOR INSTALLATI9N ONLY , Electrical contractor~' \ \~---..... Address ~\C')[) \.0. \ \~. Cityb 4QJ'\Jl-phone \ Q~f)J \<6S ~ ' superviso; Li~nse Number -q ~r:s. Expiration Da'te \ D. \ ,G\'J-J Constr Contr. Number Q \3:)\ 4!?A!Cf \ Expiration Date The installation is being made on property ,I own which is not intended for sale, lease or rent. . Owners Signature: ~~~~~----~-~z~-~-r~--------=---- RECEIPT I' ~.\CV-\ li&54c , RECEIVED .BY: ~) VC~ _', ELECTRICAL PERMIT APPLICATION City Job Number' . G\\ f\~\...5 3. ,COMPLETE FEE SCHEDULE BELOV A.' New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof ~ Each Manuf'd Home or Modular Dwelling Service or Feeder ---- $ 85.00 ~#C) $ 15.00 )~. thJ $ 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 , Reconnec t Only $35.00 $ 60.00 $,90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Install~tion, Alteration or Relocation 200 amps or less , 201 amps to 400 amps Over 401 to' 600 amps Over 600 amps or'1000 volts $'35.00 !--.. .... $ 40.00 $ 80.00. see "B" above One Circuit Two to ten Circuits Each Addt'l ten or . portion thereof $ 35.00 $,50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation. Pump or irrigation $ 3~.00 Sign/Outline Lighting $ 36.00, Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE J C(2.9::f'._ 5% State. Surcharge ~ -,~:{X.J TOTAL +p;::>~f;;?(;L