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HomeMy WebLinkAboutPermit Electrical 1990-9-11 r 225 FIFTn STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: ' 726-3769 OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION City Job Number q ~<.J q 0 {"\ 3. . COMPLETE, FEE SCHEDULE, BELOV 1. . LOCATION OF INSTAL,kATION :;- q \ (' a. "" t'l c;, t' Y -<. i LEGAL, DESCRIPTION L e;:>.{ -z..-~ A. NewResidential-Singleor Multi-FamHy per dwelling unit. Service Included: , Items Cost Sum JOB DESCRIPTION ~~ nC-.... f1e. -\-\.e \~\I\-tc '-' -- 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 Permits are non-transferable and expire if work is not started within 180 days ~f issuance or if work is suspended for , 180 days. ' 2. ' CONTRACTOR INSTALLATION ONLY $ 15.00 $ 35.00 " Electrical Contractor . B.Services or Feedirs (10 Branch Circuits included). Installation, Alterations or Relocation: .---- 10D amps o~ less . $ 35.00 101 amps to 400 amps $ 60.00 ' 401 amps to 600 amps $ 80.00 60,1 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 35.00 , . ' c.'~ry Service~~ Feeders " . ~:I"l~tion, Alteration or Relocation Address City Phone Supervisor License Number Expiration Date ConstrContr. Number Signature of Supe~vising Electrician 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 ,X $ 40.00 $ 80.00 see "B" above Expiration Date , OWER INSTALLATION New, Alteration or Extension Per Panel Name 't\J\,; tc~bLa~ Address ~\ 11 \.J ,(Lvl) V I. City S~~ \I'(.4\cJl.))' Phone'1'(:}lf-<-l One Circuit Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 . '$ 50.00 $ 15.00 The installation is being made on property I own which is not intended fbr saie~ lease or rent. E. Miscellaneous (Service/feeder not included) -E~ch installation Pump or irrigation Sign/Outline Lighting Signal Circuit or .limited energy panel $36.00 $' 36,.00 ~ers s;J:e~ $ 36.00 ------------~-------------------------- DATE: Wi III ! tj ~. . RECEIPT #: I \r.)..~:?J RECEIVED ,BY: \'Y\.~ j/ov'V\.JLt ' 5~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~r;..OO - r i 1&5 31e, 16