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HomeMy WebLinkAboutPermit Electrical 1991-10-15 2. CONTRACTOR INSTALLATION ONLY B. ,Services or Feeders , 'Installation, Alterations or Electrical Contractor P~/'4;/,~ Relocation: Address ~ l I U ~ L-"',.... 't.- 200 amps or less 201 amps to 400 amps City E~,. ' .., Phone (, ~~ -r; l.z I 401 amps to 600 amps d 601 amps to 1000 amps Supervisor License Number J. 7 / '1 ", Over 1000 amps/volts Reconnect Only 225 ..un STREET 'SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION ~OG RT-v&.~ Lf'rLL.5 f!.C?, A. LEGAL DESCRIPTION . r 1703~L{i3,-(()tJJy!JtJ " JOB DES~!'TION~"'iIlSiZ\.ll~J, uJanVl .I""'-~,~ t,~:s1-.e.W\ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ExpiJ;ation Date (v l'i J... ,..,.. -F59L.~~ .1;"""( {-, --:' ;1'o-(-1-a.-<-(-19 -7'Z-- Constr Contr. Number Expiration Date Signature of Supervis ng Electrician 1C~~.9 " Owners Narfe It h V\e H"" -H SD '" Address -S"~" f( ~"e.. tli' II 5 ~J , City C'/ 1",' Ad' A eNlone 7'f 7 - .Yi G OVNER INSTALLATION The installation is being made on property I own which is not intended for ~ale, lease or rent. Owners Signature: ~~~;:--7Z>-=1~ -?,(7-----~~------------- RECEIPT I: 7--l":;?s' ~ RECEIVED BY: f~ ~ 3. COMPLETE PEE SCHEDULE BELOV 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 $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 $ 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 $ $ $ see liB" 40.00 55.00 80.00 above D. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t Each Additional 'Circuit or with Service or Feeder Permit $ 35.00 $ 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 Y Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ;;;.. O. v 5% State Surcharge I U 0 TOTAL ~ "'ill .'U.J