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HomeMy WebLinkAboutPermit Electrical 1991-7-2 225 PIPTD STREET 'SPRINGPIELD, OREGON 97477 ,INSPECTION REQUEST: 726-3769 OPFICE: ,726-3759 l'101~~\ll)r~I~jw r~g~N<i' 64(cO() W'\OHE~~Oj ~dA' , ' Permits ar: :on-transfe~le 'and expire if work is not started within 180 days of issuance or if work is suspended for 180 dars. 2. CONTRACIOR INSTALLATION ONLY Electrical contractor~~ ~ , p ]>-.5.5 (J.2f-r::!=- , ,City C:~t" a ~Ph~ne3Y9''l~ Supervisor License Number 9/5 -S' Expiration Date ' /~r , Constr Contr. Number,.?16 - Zt?d c-tJ81,~rl' /1l1 lc9/c91111 Signature 'of Supervising,Electrician j]t!.I'L"~--., ' , Owners Nam J,.p ilJ " Address' "'( 1 'q'.:it T.Jtvv \ J Ci ty...:..Tl 1:' U1Q " ~ PhO~{o~'C1J2t " ,OVNER I~TALLATI~N ' ' , ,Address Expiration Date The 'installation is being, made on property, I own which is ,not,intended for sale, lease or rent. Owners Signature: " DATE: 7-2--9/ RECEIPT I: ?.:> ff:':2c> RECEIVED BY: r A -/-- . , ELECTRICAL PERMIT APPLICATION City Job Number q (() t 0)<; I 3. COHPLETE PEE SCDEDULE BELOV ) A. New Residential-Single or , Mul ti-Pamily per dwelling uni t. Service Included: 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Peeder - I Items Cost Sum $ 85.00 $ 15.00, 8 2Q $35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or,Relocation: B. 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 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 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 Circuits New, Alteration 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/Outline Lighting , Signal Circui t or limited energy, panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 $ 36.00 $ 36.00 f{D.on :-Zi:)D , !:'IN)