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HomeMy WebLinkAboutPermit Electrical 1994-1-3 . . SPRINGFIELD . Tho fe!lowing project es~u Itt ci' *' 225 FIFTH STREET -:~::""'o?"ddoi)$notrequ!r cP~~';h'..~:fOI'RU!aTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97471"(U'~', d{l UBe fl nQ INSPECTION REQUEST: 726-376iCI1ing City Job Number ......, ~ \ 6 -\ \ OFFICE: . 726-3759 _ ....z L - * . " ._ -'.r 3. COHPLETE FEE SCHEDULE BELOV J 1. LO A I INS AL~ .Ul~ed Signalure . I A~e\L5 I~)()(1~ Jii.. "'0," Ro~i~ntial-Single or , - ~~' , , Hulti-Famlly per dwelling unit. ' LEGAL DESCRIPTION Service Included: \ JOB DESCIUf'Il'Io,l hi )(YI, Q \)U\, LL\ ./ Permits a\e non-tran~erable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address City Phone Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician io Owners NaIll!! ()\ 0 .,1,--'\ ~~). Address ~'SC\.. ~.~ 0Lg,? \> A . City~ ~1.t 'Phone~cOlo'~ OWER INSTALLATION The installation is being made on property lawn which is not intended for sale, lease or rent. ~.~ i;- ATE:---- -r~ --~t:{~-~~-----=---- RECEIPT, I: I ~ 21 .', I W.l.Q'1 RECEIVED B~(U lG.' ./ :- ' -~ Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 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 "Bn ID above D.' Branch Circui ts 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 Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5,. SUBTOTAL OF ABOVE 4t) ,C[) 5% State Surcharge c-4. DC( TOTAL <-t',.!,l .OU