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HomeMy WebLinkAboutPermit Electrical 1997-4-14 . mad htS th~ 10UU . 1'0' act as $U?m ifle \end u:.....1 1\'19 \o\\oV/lng P I not ,equ"e spac . g and doOS ZOl'nn , ~ appro"a\. ..y Zoni~ ,j" I~I 97477 Oa\e~.rJ'- . 72 6-3 7 ?,Z'\lor\zed s\gna,)a- ELECTRICAL PERMIT APPLICATION City :: Number C\~O\ \0<6 COHPLETE FEE SCHEDULE BELOY ~ Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items CDst Sum 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 3. 1. nLOCATION\9f,lNSTALLATION ei()'.:J (1J( UJ.i1I1 / A~~1SIQJ)~ln){ ~JO>>'DESCRI~!ON 't') ('1 A (1u.X;Q A. $ 85,0.0 1000 sq.ft. or less Each additional 500 sq. ft or portiDn thereof Each Hanuf'd Home, dr Modular Dvelling Service or Feeder $ 15.00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance Dr if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY $ 40.00 Services or Feeders Installation, Alterations or Relocation: B. Electrical Contractor "HtJUPS ~~.c.. $ 50.00. $ 60,00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps tD 400 amps 401 amps to 600 amps 601 amps to' 1000' amps Over 1000 amps/volts Reconnect Only Address, ~/ 7D mt:::r+onw L.N Ci ty i.=u..t"7cf...j13' Phone l,fG: -/~ /;L( Supervisor License Number 2. 7/Cj.=, /0/16 2. ().) /7 Q,\-C'" ,j~ Constr Contr, Number -/ ~ /OJqI,.. C\.\C\.ql Expiration Date Temporary Services or Feeders Installation, AlteratiDn or Relocation C. 200 amps' 'or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600. amps or 1000 vDltS see "B" above Expiration Date ing Electrician Signature of Branch Circuits D. NIfT/1"'" PH' ,~ (), ~ . Ovners Nam.c. ~~ \":'fb\ ~An Address~ \.1.10 r\t Q, %~O;:- Ci ty,>'~~~~~O Phone OYNER INS ALLATION " Nev, Alteration or Extension Per Panel One Circuit I $ 35.00 \q-~ Each Additional Circuit or vith Servic~ ,--4 -_.+-~-+ Feeder Permit $ 2.00 or not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. The installation is being made on property I ovn vhich is nDt intended fDr sale, lease or rent. $ 40.00 $ 40.0.0 $ 20,00 $ 36.00 3qcV '."\:J .). \-"1 ~.i~ Ovners Signature: . ~~~~~-;!7J-~-t/~~~~~-~--------~ RECEIVED BY: ~- V{.t.vr....- SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 5.