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HomeMy WebLinkAboutPermit Electrical 1995-2-8 ~~-, t/ Mm I~rf 4F qtfa~3o s~ ~-6FIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION I (a?/ IJ/. ~./n+enJ1/o LEGAL DESCRIPTION /)~~-~,,)..~~ O~ - --,- JOB DESCRIPTION I 'rJ___<;fa 1/ seGur/A; Permits are non-transferable and expire if work is not, started within 180 days- - of issuance or if work is suspended for 180 days. 3. ELECTRICAL PERMIT APPLICATION City Job Number ~7'/~bo COMPLETE FEE SCHEDULE BELOY 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 $ 85.00 $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical ContractorSonitroJ Security or Relocation: \ Address P.O. Box 21009 Ci ty Euuene Phone 461-5678 Supervisor License Number l&;g9 R ET Expiration Date j{)-/-90 Constr Contr. Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician ~~r', - - ,- D. Owners Name {1 <...('odp- AnilYY1/ th5lXla/ ' I Address L~rne Ci ty Phone1J//- /99;:2 OVNER INSTALLATION The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: ::z--S~? RECEIPT #: /~ -::Z3/? RECEIVED BY: ~;:;-~ 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 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 $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limi ted Energy /Comm J $ 36.00 30JOZ) 5. SUBTOTAL OF ABOVE ,-::srt?(J(J 5% State Surcharge /.80 3% Administrative Fee /.08 TOTAL t '? RJ tAR