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HomeMy WebLinkAboutPermit Electrical 1991-9-27 225 FrITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION --1,'J-,L-, J(',J"L\ I tHo/'(\) lQn.-. LEGAL DESCRIPTION JOB DESCRIPTION 100\.L Ju NT fl--W\'Y\ fl--> 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. CONTRACTOR INSTALLATION ONLY B. Electrical contractorc.~S f~o(\tm \1(7~. Address p, (), Rud. /4- 21-. 1 Cit~. hr\..iino j~ n D.J , Phone 14 J -1., 'A3 b ~'O~ Supervisor License Number It, Z b S Expiration Date If) -1-q'J-.> Constr Contr. Number oag4q. Expiration Date' Cf - / - q-'J-. SiV::dp~s?t~an Owners Name~L ) Address '1-:;"" J.W~ Al.L.m.J ~. City~01d....>Phone '741, -Igtj.q OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~~~~~~~\------------- RECEIVED BY: \ ~ -\, I _ ~ .......~ \..--'"'" ~ ' , . 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 Each additional 500 'sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 .Servi ces 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 $ 60.00 $100.00 $130.00 $300.00 $ 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 Circui ts New, Alteration or Extension Per Panel One Ci,rcui t Each Addi tiona1 Circuit or with Service or Feeder Permit $ 35.00 3 Q.()o $ 2.00 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. 35",00 I , '"IEl -E/." '15 SUBTOTAL OF ABOVE 5% State Surcharge TOTAL , I