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HomeMy WebLinkAboutPermit Electrical 1991-10-22 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. .LOCf<T~Ot! OF INJ)TALLATION Jfl, I.J.- /\11m rl--H-{Q 11 J LEGAL DESCRIPTION /7-.0"'5-3 Y-/4 c~~ao , JOB D~SCRIPTION ,iLCt I /iLQ > ID~.P .. mo...o~ 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 c.~ S P~~,~. Address P. O. &d.. IJg~ Cit~~~.LL Phone '14/-1..1..310 super:isor<l~cense N~mber ~~~ Expiration Date If) - 1- qL Constr Contr. Number 1i:1 $?4-q Expiration Date q - 1 ~ q:J-. Signature of Supervising Electrician a~//.?~ ' Owners Name ~l J rlU @ W Address 4-1.4- ~;A~~au J City~t\J~~/(J~rJ. 1 Phone_'1j..h-/:J.3.i, OVNER IN ALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE:__ ~ /t?-=-<. J_"/ RECEIl'f II: .c./.2t. 0 RECEIVED BY: ./"'/~~ - ~ :;or- :;....,IN\io.-I~LU City Job Number 9//2S"~ 3. COKPLETE 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 . Services 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 So.oo 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above . D. Branch Circuits New, Alteration or Extension Per Panel One Ci.rcui t Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder ~Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ."'io.oo ~.S.r> 5:'J..~o