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HomeMy WebLinkAboutPermit Electrical 1991-9-26 225 FIITH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-376?, fj, OFFICE: 726-3759 \55 LV r' /hI. LOCATION OF INSTALLATION' . ~/r?, ~t!?!!Fr- O'~ ~L.L.. , . \ '1f~~~9E'rrON D~ldD JOB DESCRIPT~ON . #re-lf/~ .:.::-..y/......~. 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 Contracto~/V~~~~~~/ . Address-P~.'B~ -:2/.e:;-ttt> :;i Ci ty ~~CE": ~ _ Phone~.. Z ;;>4~ "?~~:z.. . Supervisor License Number '3~ 8 cC-S ExpIration Date /0 .~<- '. Constr Contr. Number ~(~~~ Expiration Date~~~;7-~;2 Si~, u ,e,of/~uP~g E,/lec, trician X t-7l~.J<. fW~ Owners Name -, /' . , Address City Phone OVNERINSTALLATION The installation is being made on property I own 'which is not intended for sale, lease or rent~ Owners Signature: DATE: 'e::3~t;...~/ RECEIPT it: ""2/"-4 c;/ RECEIVED. BY: /' A~- ~' 'r Ci ty Job Number q//p;Z 7 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 Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Insta~lation, Alteration or Relocation 200 amps or less , / 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch ,Circuits , New, Alteration or Extension Per Panel $ 40.00 $ 55.00 $ 80.00 see "B" yc:t *0 above One Circuit / $ 35.00 ~~".._.e. Each Additional Circuit or with Service or Feeder Permi t . "2 ,$. '. 2. 00 ~ · ~ 5. 'SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 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 7?- '3 ~?5'" $2-9~