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HomeMy WebLinkAboutPermit Electrical 1990-10-18 (2) < < . . J~Ii" , SPR_FIELD . 225 FIFTD STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number. '90/ZoG" I OFF~CE: 726-3759 1. LOCATION OF INSTALLATION L/3 /'E ~~~n7/A " LEGAL DESCRImON 1,[?-C>'2-G>.C;--2/, O/~o , J.O B DESCRIPTION . ?--_ ...;;"A.t'5.-. /;?_r:-e;.-, ~P~.?'f ~/.-r~. 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. CON'iRAcrOR INSTALLATI!)N ONLY Electrical Contractor Address City . Phone Supervisor License Number Expiration Da'te Constr Contr. Number Expiration Date Signature of Supervising Electrician q~'Name ,k-55 .b;\"".,:.,_Z-_~ - Address ? (!?~ l:bx //6:- Ci ty ~~t-b. Pho~e,"'7'7">-,",,- 7' 01lNER INSTALLATION. The installation is being made on property .1 own which is not intended for sale, lease or rent. 41"'H'R . ' . -~s Signature: ,~.~~~ ~-------------~- --- DATE: _ llj . \yo) }1U RECEIPl ,: 1l'S'h <.:....( RECEIVED BY: N1 m J 3. COMPLETE FEE SCUEDULE BELOI/' A. New Residential-Single or Multi-Family per dwelling unit. Service Included:. 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 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 Reconnect Only $ 35.00 $ '60.00 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocati,)n 200 amps or less ( $ 35. 00 ~ f:" c:ll!:> 201 amps to 400 amps $ 40.00 Over 401 to. 600 amps $ 80~00 Over 600 amps or'lOOO volts see "B" above D. ,Branch Circui ts New, Alteration or Extension Per Pan.!l, 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 inc:luded) -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 "'i'/- _ 7 ,,- I '