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HomeMy WebLinkAboutPermit Electrical 1991-12-18 S.-'.INGF.liLU 225 FIITU STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION IILl/! C:;H~LL E7,?r', LEGAL DESCRIPTION /7~'3"27-~ ~.oz- JOB DESCRIPTION ~;9'""~1"" t. C!Y Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. CONTRAClOR INSTALLATION ONLY Electrical Contractor~~~ ~, = r Address \.O;::""\D ~ ~'" Ci tyS?<;;::<>::::. Phone~'-\.'---c. ~ ,:-,,--- Supervisor License Number ~~<:>,~ Expiration Date \C)~,\~~ Constr Contr. Number ~~~~~ \..0\ '\ ~?I..... Expiration Date Signature of Supervising Electrician df~~A) ~~d " Owners Name Address City Phone OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: /2 -/ ~ -7 I ~"''Jq, !P'vJd,.vL City Job Number q//PA~CJ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ lS.OO Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps less ---L $ 50.00 ce. or ~ 201 amps to 400 amps $ 60.00 40l amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit ~ $ 2;90 ~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. h2.~ ~./O c,<":/~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL