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HomeMy WebLinkAboutPermit Electrical 1996-10-18 ELECTRICAL PERMIT rfPLICATION Ci tyJob Nulllber. \.\ tQ\:f() .COMPLETE FEE SCHEDULE BELO'W. NewResi~ential-Single or Multi-FamilY per dwelling unit. . Service Included': Items. .Cost 2. CONTRACTOR . INSTALLATION ONLY ..B. Services or.. Feeders , (\\N\y{J f\'l\i nt\~': stallation, Alterations tlectricil ~ontract~r,_ UIA~~~1 ~l . . r Relocation: ., Addre~€: \ \\h~) 0Cfr~L1. ... ~. ,-,' 200 amps or less. . " , · IMVi) \1 . OAf) 201 amps. to. 400 amps Ci ty '~'_Ut-LJ Phone J) . .Cll.I. 401 amps to 600 amps '. .,. - . ~ -. "n \ \ C' 601 amps to .1000 amps Supervisor Li'c~nse Number rr I~\o~./ Over 1000 amps/vol ts , . , ... \0.' .rr;q~' . . .. Reconnect Only EXpIratIon. Date .' '1", . .' . n , JL c. Temporary Servic.es or Feeders . const'r Contr..Number . Jb"3or Installation, Alteration or. Relocation . Expiration Date. Q .,~~.q(l... 200 amps"'or less $ 40.00 , I . 201,a~psto 400 amps $ 55.00 ~Si~~5~ of .supe_r,~v'~' ElectJ?,'Cian Over 401 to 600 'amps . $ 80.00 =-.:.-;(" ./7._ L- 'Over.600 amps or 1000 volts see "B". above .~~SW'Namf/,e'~;~~~\of\&~././V' .' ,W, ~V \.'i-1 \\~J <.J\l J X) D.' Brandi Circui ts " i\~ --:A\~\ ,New, Al tera tion or Extension, Per Panel A ar~~s 0/ ~ 0\'-1 ' ~,4 . $ 35.00' Ci ty. \{)\ \ ~. Phone E. 'Miscellaneous (Service/feeder .-Each.ins talla tion Pump or irrigation . Sign/~utlirie Lighting Limited,Energy/Res .' Limited Energy/Co~m . . :;;FiELD. .\ cC/ ' Zonina .' . DateYO, l r / 1J-r . . 225' FIFTH STREET ( .. ~ I M SPRINGFIELD, . OREGdNth~7741-r,ig!,ature . . If'-' . INSPECTION REQUEST: 726-3769 OFFICE: . 726-3759'. . 3. . L\l~ITr ~ol\'WM\m ffi.\rl. \\~~ION~'L' ': &~~~~/t.. ~1ml)~ . p~rmits'.~ a'r:".:~~~';~~~fe ble and ~xpi;er if work is not.start~d thin-180 days . of. issuance. ;r if w6rk-ii'suspendedfor 180 days. . A. .\ 1000 sq. ft. or less Each additional 500 sq, ft, or portion .. thereof . Each Manuf'd Home..ot Modular, Dwelling ~er~ice or E~eder \. One Circuit Each Additional ;Circuit or with Servi~e or Feede~ Permit O'WNER INSTALLATION The installation is being made on, property I own ~hi~h lsnpt intended for s~le!'lei~eorreni. Owners Signature: -----~------~---~-~----7---~.-7~~---~~--' DATE: . '../' . /f)-I/{.....({/ ... .... /.~.. .. RECEIPT #: . 't r . " ' !1J~~'" . ltECEtVED., BY:.~ ~J \.J'J-'~ ,'. . .V'l .. 5. . . SUBTOTAL OF ABOV:E' 5% State S~r~ha~ge 3%. Adm'inistra ti ve Fee . , TOTAL . \. Sum $ 85.00 , $ 15.00 $ 40.00 $ 50.00 . $ 60 :00 ' $100.00 $130.00 . . $300.00 ,$ 40.00 $ 2.00 not included) , .\ $,40.00, $.40.00 $ 20.00 ~ $ 36.00 AJoiv .?{(lcQ -\.~,