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HomeMy WebLinkAboutPermit Electrical 1996-3-22 . . ,~ ... onlllg. ana """" IlC't ll!q\Iir .,,",' "'~'" apprava/.\l~~""'."I~':l ~ 225 FIFTII STREET ~niJ'" ~J) I? ) ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Dote~/ z...?~ (\ '\ oO~/)g INSPECTION REQUEST: 726-37~&h -:;;;] . I 0 /ICi ty Job Number '-^.. OFFICE: 726-3759 0 Slgnatu", /lI / 3. CO,PLETE FEE ~~>>EDULE BELOV 1. ~\~OF,~~rr~prt . ,- . - . . . \ (-{ffll)l~~TION \(1:\()O ~~eC7f~Q !df:flDfi Permits are non-transferable and expire if york is not started ~ithin 180 days of issuance or if.vork is suspenaed for 180 days. ~, 2..' CONTRACTOR INSTAL}:1'ION ONLY B. Electrical contracto~~ c::Le~~ Address, \) l\) .?:oL 9 A citAh\.l~Ofl~ Phone 11to'1~ Supervisor Lice~se Number 835~ Expiration Date ~\)' \.~ Constr Contr. Number '~ \t)~~l~' \(). ~.~ Expiration Date City Phole The installation is being made on property I ovn vhich is not intended for sale, lease or rent. . Owners Signature: ~~~~~------2~~f~------------------ RECEIPT II: . ::z./) a~1 RECIOIVED IlY:<,~ A. Nev Residential-Single or , Multi-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less \ $ 85.00 q,5 Each additional 500 sq. ft or portion " lc?() thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 Services or Feeders Installation, 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $'40.00 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 Branch Circuits $ 40.00 4iJ.O 0 $ 55.00 $ 80.00 see tlB" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 / lis CVJ q .,l..,S c:", 'i' <; 1'ff/.ftO