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HomeMy WebLinkAboutPermit Electrical 1996-9-3 ',225 FIFTH STREET SPRINGFIELD,: OREGON INSPECTION REQUEST: OFFICE: 726-375~ . I~ .....g.o. , ?:,.'ning, and does not require sp'ecific land u~' 'approval., ' , .' .", Zoning ~ Da!e_q ',4.CfJe.; . . '{1Y) ") . 974 hthodZed Slg~ature 726~3769 ELECTRICAL PERMIT.~PLICATION City Job Number 'l>\\..o \\ ~~ 1. 2\\~~O~~~~run) , 3. COMPLETE FEE SCHEDULE BELOV I ' A. New Resident~al~SiDgle or Multi~Famil~ per dwellfng ~nii. \"D~3~~~N o3'5iJ . . . Se.vic.e Includ~d: . Items . Cost \ ~Olim;SC~T"I?~ ' ~- ^'1\\cJ?600 sq. ft. or less \)\0 ,fi\ili O.J ~ \')l~D\ 0?' t:J \t.\Y' Each, addi tional. 500 , sq. ft or portIon . Permits are non-transferable and expire thereof , if work is l!ots,tartedwithin 180 day,s Each Manuf'd Home or of issuance or if work is ~uspended for ModularDwellin~ , 180 ,days . :Service or Feeder CONTRACTOR INSTALLATION ONLY B., Services ot ~eeders Installation, Alterations or.. Reloca,t ion.:: 200 amps or le$s \ . 201 amps ,to 4QOamps - 401 amp$ to 600' amps 601'amps to 1000,~mps Over 100Q ~mps/volts Rec.onnec t Only, /' /' Contractor ,Address City Supervisor Expiration Date Sum $85;00 $ ,15'.00 ' $ 40.00 \ , -$ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 8).cO C.Tem~orary' Services or Feeders 'Installation, Alteraiion oi 'Reloc~tio~ '~ Expiration ate ."",. . 200 amps' 'or less ' . ~ '201 amps to' 400 amps r,.,e o,~, s,u,p,e.~~iSing ,EI~e',tri, cian, Over 401 to 600 amps Over 600 amps or 1000 vol ts. see ,"B" above . '\ D' (\h:" \ ',D. Branch 'Circui ts ?wners'Na~~..J'd)(\~ 1\\\\0.1'-0 ~-\O(\ . '. '.. ,A \tp')-:-:J)'\ (\)0.. _...'.. \ ,'..-. ' ' " :' New, At-teratIon or 'Ext~l,1sion, Per Panel Address~~ ~~ ' ' ' :. '~it~~.. J.JffLphoneC1.~.~1 ~~~hCi~~~t;onal .$ 35.00 I ---. , D -, Ci rcui t or wi th Service '_ " 4- o " MTALLATIONor ,Feeder Permi t.J....:a.. $ 2.00 at \ "Const r Contr. ' $ 40.00 $ 55.00 $ 80.00 not included) Miscellaneous (Servic~/feeder -Each installa t ion Pump or irrigation . Sign/Outline Lighting . Limited Eneigy/Re~ . Limited Energy/Comm. The ,ins talla t io'n is being made on prope'rty I own w,hich is not intended for 'sale, _lea$e ',.or ren t. , E., rs silfat/ie:.;J ... _rl- f/~~ - ..- - TE~~-------~~~~~(S;~-cc;,------~-~-- CEIPT #: ~~f _ ) j )':l.rB./-I RECEIVED, BY2-1(j,)'~ !,' ~Jo-..~r~. -- , 5. SUBTOTAL OF,ABOVE 5% ,State Surcharge 3% Administrative Fee TOT4L $ $ $ $ 36.00 ,ex) 'I'J,~, \r ) . ,~").H-~ \V\ .t{'V 40.00 40.00, 20.00