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HomeMy WebLinkAboutPermit Electrical 1991-9-26 225 FIFTll STREET SPRINGFIELD, OREGON 9~477 INSPECTION REQUEST: 726-3769 Ci,ty Job Number OFFICE: 726-3759 1. LOCATION OF INSTALLATION /1J 100 Q s,-\1't.t:.:k 3. COMPLETE FEE' SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: \-l~0\~ ~?J:f:l JOB DESCRIPTION ' S<dfV\Q:L ~,Qe.. ~~~ Permits are no~-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 City Phone Supervisor License Number Expiration Date Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof' $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B.Services or Feeders Installation, Alterations or Relocation: ' 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 50. ci) $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Dat~ ' Signature of Supervising Electrician Owners Name ~h k\;:"\<'\9d-Y'i~, Address ~ , Ci ty Phone PJ<f& -t/-1tt2- OVNER INSTALLATION 'The installation is being made on property I own which is not intended fors~le, lease or rent. ,own~er Signatur:: ~ J.' ?, ' " '%1J? ~/b@h~1u " --- ~-~--~--~-~--------~-~------------' DATE: q- 2-<0 -9\, , ... RECEIPT' it: 7-1 Lf 3S RECEIVED BY: .::J:::oloYl4- '.. 200 amps or less $ 40.00 201 amps ,to 400 amps $ 55.00 ~ ~Over 401 to 600 amps $80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation 'Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci.rcui t Each'Additional Circuit or with Service , or Feeder Permit' E. 5., SUBTOTAL OF ABOVE ' 5% State Surcharge TOTAL ' $ 35.00 $2.00 not included) $ 40~00 $40.00 $ 20.00 $ 36.00 50,,00 2".50 5' 2-,50 I