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HomeMy WebLinkAboutPermit Electrical 1990-11-29 225 FIFTH STREET SPRINGFIELD, OREGON 97477 ,INSPEctION REQUEST: : 726-3769 'OFFICE: 726-3759 ELECTRICAL PERKIT APPLICATION Ci ty . Job NUlllber a () 1 it zv 3. . COHPLETE \lEE SCBED1Jl.E BELOV \'c\ J leiL . 1, LOCATION OF INSTALLATION '/..iJ7 Sco1fs G/.~u# A. New Residential-Single, or Hulti-Family per dwelling unit. Service Included: ~;ESqPTI~11-X 'L,-r ~~o JOB DESquPTION ' m r!ri oLD ',~ (;" I ~-W \ c. 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 Contractor tJ.er;+~rj.;dViO u ' Address q( s;-~ uJ. a 4.0/ Phone 3'1'1- J~O Ci ty F t..L"''' ~ , Supervisor License Number _ 9'1:~-S '.: Expiration Date lo-1/ Constr Contr. Number ~19- ,;J ffe!) C. , Expiration Date /0- 9/ " Signature of supervising,Electrician -L~ qiJ5"~ " " f . OWER INSTALLATION Name Address City phone The installation is being made on property I own which is not intended " for sale I lease or ren t. Owners Signature: ~~.,jJ r: '"?~ 'DATE: I 1:2.q:-~tr-- RECEIPT I: J '*'Xt:;{T) RECEIVED BY: Cf/l. JL~ ) . Items 1500 sq.ft. or less Each additional 500 sq, ft or portion. thereof Each Hanuf'd Home or Hodular Dwelling Service, or Feeder, . " Cost Sum $ 85.00 $ 15.00 4. . ~ '$ 35.00 1D - 'Services or Feeders (10 Branch CircuiXs included). Installation, Alterations or Relocation: 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 $ 80;00 $130;00 $300.00 $ 35.00 .... c. Temporary Services,or Feeders ' Installation, .Alteration or R~l!lcation 200 amps'or less 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or, 1000 volts $ 35.00 $ 40.00 $ 80.00 see,"B" above D. Branch Circuits New; Alteration or Extension Per Panel One Ci rcui t '. Two to ten Circuits Each Ac!d t '1 ten or" , po~tion thereof ' . r $ 35.00 ~ $ ~O.PO , $ 15.00 E. Miscellaneous (Service/feeder notincludei -Each installation ' Pump or 'irrigation \. 'Sign/Outline Lighting ,SignalCircui t or'. , , limited 'energy pane~ , 5; SUBTOTAL OF ABOVE 5% State Surcharge '. TOTAL ' $ 36.,00 $ 36.00 $ 36.0~ ._ I f)~ r;tJ ,. - C5 . Ild~~' "