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HomeMy WebLinkAboutPermit Electrical 1991-12-4 ,. 225 FIFl'H STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 S.'JIINGFIELD City Job Number q I Il../'J() 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF Itf~T~TION/-, / 0 "9;:;. / - T ;).. i /Ce_ !1.[u ( A. New Residential-Single or Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: 1/f)~J.,-s:.::n- 1:l~DO Items 'Cost Sum ~~ JOB DEA~~ION . 1000 sq.ft. or less $ 85.00 ~/ '?~ <:;u..)c.( ::)(Dd:MO Each additional 500 r - '. Sov1/1u... sq. ft or portion Permits are non-transferable and expire thereof $ 15.00 if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling '180 days. Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contracto~;{f'<; dcf".rc. Address-=!/9t) u),()T City ~~& ~ Phone P' Supervisor License Number / ! 'f!- Ii 3if31YS3 tJ (6 5 Expirat-ion Date /0 -1- '1 Z- Constr Contr. Number d 0 l<f' C Expiration Date t/ - 2. ,-- '1 2-- ~~~~s~ng Electrician owner~ Nanif\~'/ ^ ~ Address A~- ,.<;..J~', -.:.. 'F ~ Ci ty 9.... , ' ~y - Phone '1 c( - 1 L '/ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE: RECEIPT I: RECEIVED BY: I). -'-/ .?l, 3d!-i1 lOA ~\ Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 C:::O.Q? 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 \ $300.00 Over 1000 amps/volts 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 D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional 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 Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL c.o (') 0 :::J ."0 ~;:}C::() --