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HomeMy WebLinkAboutPermit Electrical 1991-8-1 Sf>>rIINGt:IELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION '222~ J?~,:; -;;?(o?,>'5'''''~ ~. . I LEGAL DESCRIPTION J7~3-::;:>C-// _ ~:::;:;:>';!..S- ,- JOB DESCRIPTION . SaV//.:E ~~ 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 Electrical Contractor.4lEJV-~""" ~~-Z- Address 4~L)2 "v: b ~ City &..~""'=-A"~ Phoneh~"':r7",,$" Supervisor License Number '":3-:<: if? 2 S Expiration Date /.0 -~ .2 Constr Contr. Number ~/'~2?~ Expiration Date ~~92 Z:~:2~~i~~ician Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: B-(,,'9 / ""'......J.n i: 20~~ RECEIVED BY: d.P, , ", Ci ty Job Number 4-/.....:;"'~.5 ~ 3. q \aoldL COMPLETE FEE SCIIEDULE 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 B. 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 .v- $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~-c> 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 Nev, Alteration or Extension Per Panel One Circuit 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 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL &;;o.-e> '3--= k.~_..,...c.