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HomeMy WebLinkAboutPermit Electrical 1991-10-21 (2) 225 FIFTH STREET SPRINGFIEW, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number OFFICE: 726-3759 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional '500 sq. ft or port~on $ 15.00 thereof , Each Manuf'd H6me or Modular Dwelling Service or Feeder $ 40.00 1. ~V~~INS~~~Q.- &- \ 1fb~[)~~ (J \ \()CO ~B D~SCIQ:PTION . LS . 1'1)\('tl11) - - 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 B. Electrical Contractor D}{..0\'\ Flo 0t Address 43\4D ~ l ,tf\[) n~ _ Ci ty '[} ')~ xl 0 , Phone ,44-() loler Supervisor License Number ~l 0 \45 Expiration Date ~(), \ ,q j\ 'Constr Contr. Number l 0 \ n Sq'4 5.23,en Expiration Date Signature of Supervising Electrician rx'1:hU _ C0.t~ ownerCNam~Qf)'cX>yt:, , h \ ~ 1,_ Address 6\O~\.Q \)\ l ~~ @D City ~\~Phone OIlNER '\ IMTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATi~------rrY~ ,C{ I --~--l----- RECEIPT I: ~ ~I\ ,C{ -&t"t77+~-.: RECEIVED BY: l~.A..__/ - _' 3. COMPLETE FEE SCHEDULE BELOV Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only $ 50.00 $ 60.00, $100.00 $130.00 $300.00 $ 40.00 .' 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 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel, $ 35.00 ,~'S One Ci rcuit Each Addit ional Circuit or with Service __~ or Feeder Permit,. -L $ ?;90 ~ Miscellaneous (Se'rvice/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 eJ)pc) I, "E 2., <;1. <;i c:;-