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HomeMy WebLinkAboutPermit Electrical 1991-4-3 '--- s w.~~, '""",c F; E LD , 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1 ~ LO~ATION OFINST"AL LATION /3/ ."R"5~ _'l,,:YGAL, DESCRIPTION ./.-,\,.d.... 'I J()?-J ZY77 ___'"2.;' - tJ ,XV OJ - j} JO~ DESCRI~ION! ~ E 0 ( fJCB Jf}-N6__ , . Permits are non-transferable and ~xpire if work is not started within 180 days of i~suance or if work i~ suspended for 180 days. ' 2. CONTRACTOR INSTALLATI~N ONLY. B. Electrical ContractorL,tf !J((tfJ3jfIf!11, J;iJc . AddressJog WeST IlQh ~r, CilySpgL/J6beLn Phone 11./.{d;3J Supervisor License Number ~7\1~ [D/"/&12- , . Constr Contr. Number geoqq Expiration Date . I LIt D ICJ{ . . Expiration Date Signature of Supervising Electrician \~ ;'~/~ A;~/L;o _ Ovners ~efYl.E.. m ftl~()~ . Addr~ss ~ .D . b()Y-.. -€E: Ci t/5r~ IfU bF I eLf) Phone ~ g 1 ~ ~ 14-~ . OVNER INSTALLATION The installation is being made on property .1 ovn vhich is not intended for sale, lease or rent. Ovners .Signature: ~~~~-~:~~~!~:;---------------- RECEIVED ,BY: U-~- ft."_), 3. ELECTRICAL PRRKrr APPLICATION Ci ty Job Number Cf c{) ~.I COMPLETE.FEE SCHEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling unit. Service Included~ Items Cost Sum 1500 sq.ft. or less Each addi tional 500 . : ;. sq. ft or portion thereof . Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 '. '$ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Iristallation, 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 (an , 00 C.Temporary Services or Feeders Installation, .Alteration or Relocation \ 200 amps or less $ 35.00 201 amps to 400 amps . $ 40.00 Over 401 to'600amps $ 80.00 Over 600 amps 6r'1000 volts see ~B" above D. Branch Circuits Nev, 4lteration or Extension Per Panel One Circuit Two to ten Circuits Each Addt'l ten or portion" thereof $ 35.00 $,50.00 $ 15. 00 E. 'Miscellaneous (Service/feeder not included) -Each installation , Pump or irrigation Sign/OutlineLighting Signal Circuit or limited energy panel $ 36.00 $ 36.00 5 . SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 (00 I DO 3,W (I? 3 ,DO