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HomeMy WebLinkAboutPermit Electrical 1994-7-14 I ,I" . . SPRINGFIELD . I no oI!CWfng """'-~ I{, loning end ~ """" as subln/tt fl4Jprov~1 dvos not roquir8 sp:,!",h&e thto f ' . ~".c laopJ.l 225 I'U." STREET Zo I I 1)1/? ELHl:rnICAL PERMIT APPLICATION SPRINGP'IELD, OREGON 97477 flOg - ~ ll..Alf'.I::!..c:::. INSPECTION REQUEST: 726-37fi910.:2::.11-.-'i<t- City Job Number~ OFFICE: 726-3759 Authort>:.Q." I . . "'Qnoture~KPLETE FEE SCHEDULE BELOII 1; r+P1iJ!!ON~A!~~,!,~LW.TIOI:lI I/V - ~) tQt ) {.L/JLJJ...JJ off" ({Jl(J A. New Residential-Single or - , Hulti-Family per dwelling unit. ~IOt)<\.4.[,{) Service Included: Items 1\1\ .JQIlNlEScr IPT \...A '\ \l H \1 , Constr Contr. Number (03\:'1'7 Expiration Date 12--L;j -(13 200 amps or less . 201 amps to 400 amps Signature of Supervising Electrician Over 401 to 600 amps ;;Z /1/ iJ / _~ Over 600 amps or 1000 volts 'i! ower: ~(\r~~_~l"N\ 001i1 ~nch Circui ts Add~S~\~' ~~-'V". New, Alteration or Extension Per Panel 11 A"ll -,d..- .111:".1 _~ One Circuit $ 35,00 Cit . '..LY _ Phone---L..\J'~ Each Addi tional Ci rcui t or wi th Servi cy ^ ex) o NSTALLATION or Feeder Permi t $ 2.00 N ' -transferable and expire started within 180 days if work is suspended for Permi ts are I. if work is not of issuance or 180 days. '2." CONTRAcrOR INSTALLATION ONLY Elec'tr'ical Con tf~c tor J:tF-R. iiA6r-_cL-ecr: ..Io.'ll- ~ "P - - Address. ~,"; \,\J~, v z::.j-;-l:!:,\ J':_ City t='.I1 f-lIz:=-^-II=::- 7Z-Cj -l5DO 6 ~S'-I6&<> Phone Supervisor License Number Cjl\"i'S' Expiration Date to -I-q<=) The installation is being made on property I own which is not intended for sale, lease or rent. , Owners Signature: " DATE: , RECEIPT, I:, I RECEIVED BY. - - -- Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd 1I0me or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 & $ 40.00 ,9{) .rtJ B. 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 C. Temporary Services or'Feeders Installation, Alteration or Relocation $ 40.00 $ 55.00 $ 80.00 see "D" above E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ~ fO 5% State Surcharge ~it~. \U ~ 3Gb r-!J:1~ T~ ffi..~