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HomeMy WebLinkAboutPermit Electrical 1991-4-22 sprUNGFIELO , ......... ~ JuJ/Jtl f!i} ;;11,:1;;); 11 A~ f ... 'f l::f If lJ}I: (fiJ; 7::( t{@]t :t~i1l1QI.."__ "c__,.".".~l"... '_'~ ._..,.".~!lQ. ..-~ ...., ~~ .... 2. CONTP~CTOR INSTALLATION ONLY n Services or Feeders (10 Branch Circuits O. . '\-1 ~n...l'rl'included). Installation, Alterations Electrical Contractor\.\:.)\!0.<.....lQJ~ ( ~or Relocation: Addressm~ \\\~~ C1 ty 8~Q n Q '1 Phone'4~CA'4~ . Supervisor Li~ense Number cf) q 00...) , Expiration Date / Q. {.q~. - Constr Contr. Number" (.04~ g n. c. 225 Fn~m STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: '7~6-3759 1. ~1Yt ~F ~VU}\ON \~rY3~~3 no?ffJ Jl oJ~on~n~I~I2U(02 / Permits are non-transferable and expire it work is not started within.lSO days of issuance or if work is suspended for 180 days. 1:' ". n t . ,:0 I uu...xplratlonua e,' . ..N'. . ~. I ~ . - ..... _< _. . ~_ .. . _n. Signa~erV~ etaers t;a~el) x1nWJJ~) Address ~~~~ ~} -1 . - I. :?2 City . -( .Phone 'l.U,... J::;)() OlfliER \NS ALLATIOlI 1 The installation is being made on E. property I own which is not intended for sale, lease or rent. :.~O'\iners Signa ture: ----------------~------r------------- 5. - . --- ..--.m,u21::" .......-or) - a '--. u_,_ - - --.- 'n -- .n --. - - _mDATE: W 'J I .- I "'^.... -- .. RECEIPT *: ". ... '- - 6 - - t U\ Y'J~)-"-- ---- RECEIVED B~ L1{1, -- '7 '---' ELECTPJCAL PERMIT APPLICATION City JOb'NUmber g \ lBSlo 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 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 $ 35.00 100 amps or less 101 ~mpito40cr afup~ . 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 35.00 . . $ 60.00 $ 90.00. $130.00 $300.00 $ 35.00 \ ':...J~ (-=-' ....J Temporary Services or Feeders . . Installation, Altera~ion or Relocatiori 200.-amps..or..less . ......-...........-..-$.35.00... m_ 20L.amps_to.._!+OO_amps._._ _h. .._....S- 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ~ranch Circuits' New, Alteration or Extension Per Panel One Circuit $ 35.00 Two to ten Circuits $ 50.00 Each Addt'l ten or portion thereof $ 15.00 Miscellaneous (Service/feeder not included) -Each.installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel $ 36.00 n~~ll~~~-~~r~~::;.. -8y.~- _m . TOTAL .-- .--.-.........--...----- 'C~0, I' :i - --.. -.' .. .. '.- $ 36.00 $ 36.00