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HomeMy WebLinkAboutPermit Electrical 1995-5-30 lr,.'ie"'c!lr?J"-.'~" .'. ..... ".' ".1, ~\'Jr-:t)~pfO.~~tt\o!fut$1if':~~,;:..oO,~'~~-::.,tll "r.':"- ,. :~l'~~~il:;lJ,.:1:lm:Pj;.W!~f1i11lrn.~;I(;f;',:"pf;"C';;C 'iaritj:.u;.~~.,\\{!,l~ ~iiljJ.~H)';'~1. ...,,, ,. _!.'..... .." I..... '::~-it; "Zoriiiiib. W rfJ'!,..,5'-:?<J - ~-_._- ELECTRICAL PERMIT APPLICATION 9~~g~;~~;~~_ill~___~ity Job Number q ~\fJ 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ~f.TrpN OF INSTALLA1hOrL' U 10 (2 \.. '-Xl l (j\ ~)t") ~K:~~~TIONn( _n (.oD~. JOB DESCRIPTION Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. Address /' / City Supervisor Expira t ion Da te "" ture of Supervising Rl",,"~ Oyners Name~ Address \\\olo ~ cgr_ Ci ty & \~ rL Phon;14l &f1 ~ ~TALLATION The installation is being made on property I oyn yhich is not intended for sale, lease or rent. ~rs Signature: L:A6-8'/$~ . t~ -~----------~----~~~~----- ~CEIPT jI: L/1,"";: ~ . ~:l.c:::. RECEIVED B~A_) . . <..J..,.;.-J 3. COMPLETE FEE SCHEDULE BELOII A. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular Dyelling 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 $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" alloVe D. Branch Circuits " Ney, Alteration or Extension Per Panel $ 35.00 ...!j';./fJ \ One Circuit Each Additional Circuit or yith Service 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. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 36.00 8'6.cD 40.00 40.00 20.00