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HomeMy WebLinkAboutPermit Electrical 1990-9-12 (2) fVlOX'i WI lvbs'S -own et/ 225 FIFTH STREET SPRINGPIELD, OREGON 97477 ' INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION O~INSTALLATION 2..3 2. ~ iC7~ ~ LEGAL DESCRIPTION , 17() -:J,7 17-'71 D7.DbiJ J'a~~~~~~ +~~, 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 WE /UJ.J/O ELEcT Addressft h.5"" LV .2..J CityLuq e...<. Phone-lJ KS--J'tt' 3 '1 Supervisor License Number .25"& t!J S Expiration Date 10-/-'12... Constr Contr. Number 20 - 2.l S-C Expiration Date /e> - /- Cfo S' ature of Supervisin Electrician, 7nJ~1 OVNER INSTALLATION Name Address Ci ty Phone The installation is being made on 'property I own which is not intended for sale, lease or rent. Owners Signature: , ~~~~~--~=~-1--:q-O---------------------- RECEIFT #:''' l'i-7fn{P RECEIVED BY: n "^~ ELECTRICAL PERMIT APPLICATION Ci ty Job Number 9 () / J 3G 3. ' COHPLETE FEE SCHEDULE BELOII A. New Residential-Single or Mul ti-Family per dwelling uni t. Service Included: It ems Cos t 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 $ 15.00 $ 35.00 B. Services or Feeders (10 Branch Circuits , included). Installation, Alterations or Relocation: 100 amps or 'le~s 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 ~U $ 80.00 $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 ~OO amps Over 600 amps cor 1000 'volts $ 35.00 $ 40.00 $ 80.00 see ItB" above D. Branch Circuits New, Alteration ,or Extension Per Panel One Circuit Two to ten Circuits Each Add t' I ten or', portion thereof $ 35.00 $ 50.00 $ 15.00 ,E. Miscellaneous (Service/feeder not included) .,-Each installation, Pump or irrigation $ 36.00 Sign/Outline Lighting $ 36.00 Signal Circuit or limited energy panel $ 36.00 , 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL (oO.QO -=5.00 t" /'. Ol)