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HomeMy WebLinkAboutPermit Electrical 1991-8-28 " 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ,INSPECIION REQUEST: : 726-3769 " 'OFFICE: 726-3759' 1, ,LOCATION OF INSTALLAT.!Op '~I 'S('<J?J715 Gd:P/OA~ LEGAL DESCRIPTION -rM J./rf 10 100 JOB DESCRIPTION ' fYV)h~Lo,~ (JQ4~~ 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. CONTRACIOR INSTALLATION ONLY Electrical Contractor i/-er2..-i-lOJ"-€ fledrlG o Address' <K ~ r;. uJ. ,1.lJ;)Y City EIA 0, e,ve- Phone, :;?1I'f-I:;OO Supervisor License Number ,,;1.19-':::>' R'D d.- Expiration Date / f) - ~1-9a- Constr Contr. Number d-6- ;). '60 c. - , Expiration Date 10- '5 j:- 9CJ.- Signature of Supervising Electrician 1ii44J~ , Name Owners Signatur~: DATE: ~. '1f..lY.trTJ------:-~- RECEIPT I: ..J--/ . - ~K. I #... ~ ':::f ' RECEIVED BY: ( - / 'I.L.LA:. ), ..,.......-. . ELECTIUCAL PBRHIT APPLICATION Q (r1o?\4 Ci ty Job Number 3. . COMPLETE I!EE SCBEDtJl.B BELOV , Items Cost Sum A. New Residential-Single, or Hulti-Family per dwelling unit. Service Includedl 1500 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion, thereof $ 15.00 Each Hanuf'd Home or Modular Dwelling Service or Feeder' :J-. ,'$ 35.00 70 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/vol ts , Reconnect Only' $ 35.00 $ 60.00 $ 80;00 $130;00 $300.00 $ 35.00 "- C. Temporary Services or Peeders Installation, ,Alteration or R~l,ocation 200 amps'or less $ 35.00' 201 amps to 400 amps $ 40.00 Over 401 to 600 amps $ 80'.00 Over 600 amps 'or,1000 volts see,"B" above D. Branch Circuits New; Alteration or Extension Per Panel One Ci rcui t " Two to ten Circuits Each Aqdt'l ten or' portion thereof ' , . $ 35.00 $ 50.0~ $ 15.00 - ALLATION j;ljl) Address .J2.fI' 4 ' ' Ci ty (1'D Q ilL- Phone~RR(JCU-23' Th~ installa~iOn is being made on property 1 own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or 'irrigation 'Sign/Outline Lightin~ ,Signal 'Circui t or', , , limited 'energy panel , 5; SUBTOTAL 01' ABOVE 5% State Surcharge . TOTAL $ 36.,00 $ 36.00 $ 36.00 ')()CCJ ~ J. <Y') '.8~ "