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HomeMy WebLinkAboutPermit Electrical 1991-4-23 (2) ,~. .' SPRINGFIELD . " .' 225 FIFTD STREET SPlUu"uELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1., LOCATION Of INS'l:ALLATION", . ,':;OLn4 \='fJISlS' ,lQJ ,~J.W)2rrm ()~O-.c:s ~OJU>~au:FTION u \-- t:J D 1:'-. 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 ~~~ Address 0\"D w \ \ Ci ty fi )~hone1f6 ')-1<63/ Supervisor LQcense 'Number Cll)S~~ Expiration Da'te \D I ( I q~ " Constr Contr. Number~I?x.~I, , Expiration Date 41~ let ( ~~ure~f S~rvising Electrician' r n"Ci V ,4..- \ / J \. __ . ~wners ~ame ~'~1(, ~\~ DJ Address \O~C\. S~ lJ(' J Yt- City ~f~__Phonel41 f)70f 01lNER' \NSTALLATION , The installation is being made on property ,I own which is not intended for sale, lease or rent. Owners Signature: ~A~;~=- _ .., ,--'L(rCfT RECEIn .: I 1'1t"X:Y/ RECEIVED BY: ("iiLM , ELECTRICAL PEiU!rr APPLICATION Ci ty Job Number' q \ 0?, \ ~') COHPI..ETE FEE SCHEDULE BELOIl 3. A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq.ft. or less \' ,$ 85.00 ~".. Each additional 500 sq. ft or portion thereof $ 15.00 L2!i) Each Hanuf'd Home or Hodular Ovelling Service 'or Feeder $ 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 c. $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $,35.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps ,or less L $ 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 Circuit~, New, ~lteration or Extension Per Panel Miscellaneous (Service/feeder -Each ins talla tion , Pump or irrigation Sign/Outline Lighting , Signal Circui t or 'limited energy panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $,50.00 $ 15.00 not included) $ 36.00 $ 36.00 ' $ 36.00 L~.tf) , (0.1 I c:; !9 \.'1 ~