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HomeMy WebLinkAboutPermit Electrical 1993-12-5 -,~ f' , l, , ~~.... r- 225 FIFTIl STREI:T SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICI:' 726-3759 97477 726-3769 ELECTRICAL PERMIT APPLICATION C1ty Job Number ",??/::<.ay 3 . COMPLETI: FEE SCHLDULE BELO\I 1. LOCATION OF INSTALLATION ~ J~ /~/~A2L /?~kV. A. (- LEGAL DESCRIPTION ~-C~~2-/2. _.o?6'OCl - , JOB DESCRIPTIO~ ~ _W~~r~ ~~,Pj-.r/. , PermIts are non-transferable and explre If vork lS not started vlthln 180 days of Issuance or If vork IS suspenoed for 180 days 2.' CONTRACTOR INSTALLATION ONLY Electncal Contractor aJ~ E/CGt-r,'t:- Address U ~I l~vl. 5 Clty .€ ""~ e....... Phone 3 '('1- be; r~ SuperVlsor LIcense Number 3 a J 5' 5 /1">,1_ "".;:- EXpH3tlOn Date v, /'-' Constl- Contl Number = . 7832.''} ExpHa tlon Da te /2. S. ';:)- SIgnature of SupervisIng I:lectrlclan /JL.-~ Owners Name %~~ ,~co Address ~~~ CIty ~~. , , Phone 2V')~""i'/&:>3 O\INI:R INSTALLATION The Installatlon lS beIng made on property I own VhlCh lS not lntended for sale, lease or rent . Owners Slgnature: DATI:' RCCf Ii'l II' RCCCtvLD BY Nev Resldentlal-Slngle or Multl-Famlly per dwelllng unIt SerVIce Included Items Cos t Sum 1000 sq.ft. or less $ 85 00 Each addltlonal 500 sq ft or portlon thereof $ 15 00 Each Manui'd Home or Modular Dvelllng SerVlce or Feeder $ 40 00 B. SerVIces or Feeders Installatlon, 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 C. $ SO 00 S 60,00 $100.00 $130 00 $300.00 $ 40.00 Temporary Servlces or Feeders InstallatIon, Alteratlon or Relocatlon 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100U volts D. Branch Clrcul ts $ 40.00 $ 55 00- $ 80 00 see "B" above Nev, AlteratIon or ExtenSIon Per Panel MIscellaneous (Servlce/feeder -Each InstallatIon Pump or IrrIgatIon Slgn/Outllne LIghtlng Llmlted Energy/Res Llmlted I:nergy/Comm One C,rcult Each Addl tlonal CIrCUIt or vlth SerVIce or Feeder Permlt c, 5, SUBTOTAL Of ABOVE 5% State Surcharge 3% AdmInlstratlve fee TOTAL $ 35 00 $ 2 00 no t Included) $ $ $ $ 36 00 ~~~~ qr~r -~~/T ~ r / A' 4/#e::f. 40 00 40 00 20 00