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HomeMy WebLinkAboutPermit Electrical 1991-4-10 (2) r' . .. _.~,.~.,- " 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ,INSPEClION REQUEST: : 726-3769 . 'OFFICE: 726-3759 , . 1, LOCATION OF INSTALLATION -:'\ ' . .:loll) UO N/J-e1lt !..J~ LEGAL DESCRIPTION , fY)i'1-0 n TA-)('~1- 34.DD JOB DESCRIPTION \fY\.D~~:'M9.. ElQ.dV\ G Permits are non-transferable and expire if work is not started within lBO days ,of issuance or'if work is suspended for 180 days. 2. CONTRAClOR INSTALLATION ,ONLY .... , . Electrical Contractor tle..V'\~ JIuJ-. Address_ ~S;);:. t,U.::J ll,'\Y City E4.....0L- Phone 3l(tj- J~ 0 Supervisor License Number 9'v~--S Expiration Date } 0 - q d- Constr Contr. Number ~ - ;)..gO -C . Expiration Date IO~''7~ ELECTRICAL PERHIT APPLICATION l{ln~')~ Ci ty ,Job NUlllber 3. . COMPLETE fEE SCBED~ BELOV :.' A. New Residential-Single. or , Multi-Family per dwelling unit. Service Included: ' , Items Cos t .. 1500 sq.ft. or less Each additional 500 sq. ft or portion. thereof Each Manuf'd Home or Modular Dwelling Service. or Feeder, . , . " Sum " ,$ 85.00 , ;,', , , $ 15.00 '" ~ '$ 35.00 1:0 . B. 'Services or Feeders (10 Branch Circui:ts 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 $ 80;00 $130:00 '$300.00 $ 35.00 - " ,: . V .., .... C. Temporary Services. or Feeders .' Installation, ~lteration or R~l~cation 200 amps'or less 201 amps to 400 amps Over' 401' to 600 amps' Over 600 amps 'or,1000 volts $35.00 $ 40.00 S 80.00 see',' "B"' above Signature of Supervising Electrician ~ / ,OVNER fNSTALLATIO~ 01\ ~ ' Name E (':(\ \\t\ \ WJ V' Address \\0-- ~ f\ \-.J}Y\'l1Y ' . City .~O J Phone \o~~'~\\63' o The installation is being made on property 1 own which is not intended " for sale I lease or' ren t. ~. ~tur~ll " , ,0.;",. 4"lU~ RECEIPT I: .,- \'-1, t..J-\ RECEIVED BY: ~ \ 1 I( \ _ ') . I D. Branch Circuits NeW; Alteration or Extension Per Panel One Circuit " I' S 35'.00 :;;_~)L Two to ten Circuits $'50~PP Each A4dt/l ten or' ' ----- portion thereof " $ 15.00 . . E. Miscellaneous (Se~vice/feeder not include! -Each installation ' . Pump or 'irrigation ' $ 36.,00 .sign/Outline Lightin~ S 36.00 ,Signal :Circuit or', ". limited 'energy panel . 5~ SUBTOTAL OF ABOVE .5% State Surcharge" TOTAL . ; $ 36.00 ,~ " Ji:lMP ';; ,.~rf%:. . ~, " . ;./ "