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HomeMy WebLinkAboutPermit Electrical 1991-8-23 SprllNGFll!LD , I I 225 FlITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. LOCATION OF INSTALLATION } J GI /(6 ...v!..U u/...... -J LEGAL DESCRIl'.:1'ION ,--,,1- J:J.)'" 'f<tUAI b..v CJ-t.~..- JOB DESCRIPTION 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_~~1L11.0 t:~ Address,Q70'3 'D~t.(c..lT1 V 04u..G" ~13 ~. Ci ty C D'T1M.... G(l.c.;€! Phone <91/2.- 3b7L Supervisor License Number -z..- 7 0 l? S Expiration Date ~L Constr Contr. Number "20- / 7 foe. Expiration Date 5~qL- Sign:O:=PArviC9i,cian Owners ~a~e ;::.~ IJ I~ Address J t{t{ d- I1L-/t,/.u'r D- ~ I "", _ 'A Ci ty G I<. (c-./' _' Phone t.i! d - J 17 IV v 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ----------k-----7T-- . DATE: _ to.-~ ')Cl 0 ~ \C{li I _ I RECEIPT t: \ n 0... \l)VI. RECEIVED BY: .~.AL)L-L/ 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less / $ 85.00 ~<>'2> Each additional 500 sq. ft or portion 6~.cO 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 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 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" '/&, <SO above D. Branch Circuits New, 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 / ~<;": c=rO "T . ::z :2 /q€'/.2~