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HomeMy WebLinkAboutPermit Electrical 1983-4-29 225 FIFTII STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 , 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATIO OF lOti -Lnr'> lJL.l 1> 1~~~~~O~~~ iOJ~D~~IO~~~POnJ Permits a1: non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. ~ 2. R INSTALLATr.e't?~7r- ~ II lIT' ,B. Electrical Cont tor ~ ~ Address ~r [) (J. '\ \ ~ City fl )ni~Phone fn)<l~ZIZI Supervisor &cense Number f....J!J3 1- 5- Expiration Date /0/ ( /,~ Constr Contr. Number /) '" rrP'() Expiration Date /J J. J tJr / f ,;.. ( , Signature of Supervising Electrician tr~~ Ovners Nanie ....L, '.:. l~~. ,v1\ In kit) llLJ' Address 0:'TT.-0 v" ~ 'il4J 'J:.4 Ci tY~PhOne,~(j11 OVNER INSTALLATION 3&,1 The 'installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners" ture: /' A~_~~_~~~~________~____ D E. -431~~1t,_. ," . '_,_ ~i~~DII~~~,-L E&S -'l).-I A. Nev Residential-Single or Multi-Family per dwelling unit. Service Included: Items 1000 sq.ft. or less I Each additional 500 sq. ft or portion ~ thereof ~ Each Manuf'd Home or Modular Dwelling Service or Feeder 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 Cost Sum $ 85.00 AS $ 15,00 ~ $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "Bn =ill above Nev, Alteration or Extension Per Panel One Circuit Each Addi t ional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5X State Surcharge TOTAL '" $ 35.00 $ 2.00 not included) $ $ S S I 10 CO M.~j / !Jl::;. ~ 40,00 40,00 20,00 36,00