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HomeMy WebLinkAboutPermit Electrical 1991-3-20 '" I ELECTRICAL PERMIT APPLICATION , City Job NumberilLl2llo3 3. COMPLETE FEE SCHEDULE BELOV ' 225 FIFTH .>uu."'. SPRINGFmLD, OREGON 97477 ,INSPECTION REQUEST: ,726-3769 OFfiCE: ' '726-3759 1. ~TI..QNOF ~STALLATION .-Il' , hCJ A I lln f'Gf.::f!\(~..... A. New Residential-Single or , Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION Items Slim Cost 1500 sq;ft. or less ~ $ 85.00 2&.- Each additional 500 sq. ft or, portion 30.- thereof 2 $ 15.00, Each Manuf'd 1I0me or Modular Dwelling, Service or Feeder $ 35.00, PTION1 riuJJtbQ ..) Permits a e non-transferable and expire if work s not started within 180 days of issuance or if work 1s suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~~ ' Address f)qf}fl ~ D V.... C:;(I'J111j~ City ~ ~7~Ph~neG42.: ,<'=)1977- , Supervisor License Number cl)f)()RS ID,lLjEJ 'Constr Contr. Number .:3 X X 5 Co c9 { nJ q '2-/ . 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 Reconnec t Only . $ 35.00, $ 60.00 $ 9,0.00 $130.00 $300.00 $ 35.00 , , Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less JJJ:L $ 35.00 C21 201 amps to 400 amps $ 40.00 Over 401 to 600 amps' $ 80.00 Over 600 amps or 1000 volts see liB" above Expiration Date Si~~::>'Of Superv1sing,Electric1an , ~', ~ ~()~~.J) " , . L u'L) Owners Na~~~ Tll )) ~ J) Mdr~ss,b)qq3' ~S City ,gOqe/LLPho~e_4K5 -,~'-10 ' ,OVNER IJJ.r~TION , ' ' D. Branch Circuits New, Alteration or'Extension Per Panel 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 , for sale, lease or rent" Owners Signature:' E~ Miscellaneous (Service/feeder not included)' -Each installation Pump or irrigation' Sign/Outline Lighting , Signal Circuit or limited,energy panel $ 36.00 $ 36.00 $ 36.00,' J J 5".'Jt~ ~.?S- /a.O.7S . ~ 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL DATE: ,~.!:)(). ~I , RECEIPT I: ~ ' H47::L RECEIVED BY: / )C--Ll ' . I "