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HomeMy WebLinkAboutPermit Electrical 1991-6-21 225 U~ u. STREET 'SPRINGFIELD, OREGON 97477 . INSPECrION REQUEST: 726-3769 OFFICE: .726-3759 Sf.nINGFIELD I ELECTRICAL PERMIT APPLICATION 1\ Ci ty Job Number' q \ DIdt 3. COMPLETE FEE SCUEDULE BELOV 1. LOCATION OF INSTALLATION. / q /1 0 < OIJ11/- JI A. New Residential-Single or . ... Multi-Family per dwelling unit. . IAA LEGAL DESCRIPTION .' ()~'21 J\f'\ L17~llerVice Included: rv!'e'Cfrl>iJ ReSfT'{fi/J.1-'r 1"1 10J\O"tr-ooJ,O, f..(J. Items Cost Sum JOB DESCRIPTION T~II:"t:{ A/I'~ ("t(Li 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. CONTRACfOR INSTALLATION ONLY Expiration DateJAI./ /yt1"L #Z~;77L;i"M . Owners Name. Address' City Phone OVNER INSTALLATION The installation is being. made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: 10 -2--[ -CfJ RECEIPT ,: 2-f.)LJ L/L/ RECEIVED BY:IlM...M.<;J , \ --'--- 1500 sq;ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 35.00 B. Services or Feeders (10 Branch Circuits 'included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only _.. $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 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 D. Branch Circuits $ 35.00 $ 40.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit .Two .to ten Circuits Each Addt'l ten or portion thereof .I&L- E~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting v . Signal Circui t or limited energy panel, 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 50.00 $ 15.00 not included) $ 36.00 $ 36.00 $ 36.00 3lo.dJ I. ?lU ~...,II. '60 ~