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HomeMy WebLinkAboutPermit Electrical 1991-7-2 SI'IIINCFIl!LD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. ~~ O~~ALxm..ulK rffi~~Zf\N Of fYY') JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 1BO days of issuance or if work is suspended for .1BO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician _m ,,,;,1< ,,'trlL ~~ D. Address ~\ B R CUJ\.. _ Ci ty '~lrt p)lOner4 \ ~{)J~b O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~;(~~1r-~-~~------------ RECEIPT II: . \---..~_ - N 2. llnl-- RECEIVED BY: \: ~\Lb t. ",. 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less $ B5.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 $ 40.00 $ 55.00 $ BO.OO see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit -L $ 35.00 00 Each Additional Circuit or with Service 4 or Feeder Permit ~ $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?>qCo I.GJc) ~ V{-::=') SUBTOTAL OF ABOVE 5% State Surcharge TOTAL