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HomeMy WebLinkAboutPermit Electrical 1991-4-23 (2) - . SPRINGFIELD l::tl, . 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is. suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor R~ \\ 'S Address ~\ Y)O W'\ \ ~ .. City7-A JQy' . PhoneJ o~f)~\%S\ Supervisor LiWse Number. q X' ns Expiration Date loll /0-z;.. Constr Contr. Number f:)\~1 ~1141ft1 . /. &1.~f ~iSing Electrician Owners Name ~ . I ~O f))D. Address 1 oxG\ ~ "8-. .. Ci ty S:Ofl~Phone 14l-'DJ0!- ~J.rALLATION . . ELECTRICAL PERHIT APPLICATION City Job Number ~3( 7 COHPLETE FEE SCHEDULE BELOV 3. , New Residential-Single or Hulti-Family per dwelling unit. Service Included: 1500.sq.ft. or less Each additional 500 .sq.. ft or ~ortion thereof Each Hanuf'd Home or Hodular Dwelling Service.or. Feeder B. Items Cost Sum v- $ 85.00 ~."~ c-- $ 15.00 I~ ."0 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or.Relocation: 200 amps or less. 201 amps to 400. amps Over 401 to. 600 amps Over 600 amps or:l000 Branch Circuits $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation The installation is being made on property.l own which.is not intended for sale, lease or rent. Owners Signature: ~~~;~--2f~-2:-5. 0 \--- -- I RECEln.: (_ j. ^~rcr K~, RECEIVED .BY: ::7) I /. LA... . 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 $ 40.00 $ 80.00 volts see "B" above Expiration Date New, ~lteration or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l ten or portion thereof 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL E.. Hiscellaneous (Service/feeder -Each installation . . .Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel $ 35.00 $ 50.00 $ 15.00 no t included) $36.00 $ 36.00 . $ 36.00 if4? CV L0<-ffi-