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HomeMy WebLinkAboutPermit Electrical 1990-10-25 225 FIFTH STREET .SPRINGFIELO,..OREGON 97477 , INSPECTION REQUEST:' 726-3769 OFFICE: 726-3759 1.. . LOXATION OF .INSTALLA'RON<:-J . \Q\' Ii lq ,'d-.. \ 1'1') L_ ~\:"""". ~N 00k.(')Q ,'" ',_ tOn DESCRI1RoNc!'11.P !}Ec!ot ~,.~ XY\ ,., t~~ Permits are non-transferable and expire if work is not started within 180 days of i~suance or if work issuspen~~d for. 180 days. }>:::~~910R INST~TI9N.O~Y . .. B. ~tractor~ ~(\~PmW . Address 519t~. ,,$1~L?Ov City21?e.(i-:. Phone 14k-~S Supervisor License Number' . . Expiration Da'te Constr Contr. Number Expiration Date . . . _ . ..~t~d~9u~~' (OV~;; Name '-~ tL~\ffiji Q J D. Address \ (') \ \ \f'Y\(\ i Af\ SA. ~, CitY~ . Phone OVNER IWTA~.LATION' The installation is being made on property .1 own which is nOt intended '"lor sale, lease or rent. . OvnersSignature: ., . ., . . ~A~;~--TO. -:Z:r:C)~~-~~------------, '. RECEIPT I:"'. J." rhLo ~ L () RECEIVED BY: rt::':::J J I)~ ' . , ~ -~ . . .' , ELECTRICAL PERHrr AP~CATION .. . . CIty Job Number. ." y()/ /:5 q I 3. COHPLETE FEE SCHEDULE' BELOV .' A. New Residential-Single or . Multi-Family per dwelling unit. Service' Included: Items Cost Sum 1500 sq.ft. or less $ 85.00 Each addi t.i'onal' 500 sq. ft or. portion ther~of . $' 15.00 Each Hanuf'd Home. or' Modular Dwelling ,Service or Feeder $ 35.00: Services or Feeders (10 Branch Circuits included). Installation, Alterations.' or Relocation: . 100.amps or less 101 amps to 400 ampSl 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 Reloca~ion 200 amps or less $ 35.00 201 amps to 400 amps $40.00. Over 401 to' 600 amps $ 80.00 Over 600 amps or'10aO volts see "B":above Branch Circuits New, ~lterationor Extension Per Panel One Circuit Two. to ten .Circuits . . Each Addt'l ten or . portion thereof .r .' $ 35.00&C; $.50.00 ..,- $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation' . Punipor irrigation . Sign/Outline Lighting Signal Circuit or' li~ited energy panel $ 36.00 $ 36.00 . 5. $ 36.00' ~~S.oj } '6 .~{p:Yn SUBTOTAL OF ABOVE 5% State Surcharge TOTAL'