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HomeMy WebLinkAboutPermit Electrical 1993-8-31 ~ '" .. .) " .~ 2"9. fOllowing pro loot eo ""bm~'"d h h'" . 225 FIFTH STREET ,.0n"nO ~nc" 0: " "' . ?1l t cECECTR1l:CAL PERMIT APPLICATION SPRINGFIELD, OREGON 97471 appro\'o., ... ~ u"" /:).A INSPECTION REQUEST: 726-3769 ZOninl'utlV City Job Number_ 7 307"'72- OFFICE: 726-3759 Date_ ~ -~..tj"? 3. COMPLETE FEE SCHEDULE BELOII 1. LOCATION O~ J:NSJ;AJ.LAT:U>N,orizedSignature IAIlr-..../ 4411, 2.. Hd"~ :')T. -.~~E"" n,.~it\ential-Single or . , . i ! Multi-Family' per dwelling unit, LEGAL DESCRIPTION Service Included: /'11>e2. D"$ 2.. / 19~5b'D Items Cost Sum JOB DES9UPTION <;.F .A"E->/(ptJf': '2/05 .. " Signature of super~ing Electrician "f!.,j ff~ - . v '- j J D. Owners Name r;~\~ ~'A-H?'_(" Address P.,!}. ~ 2::2.e;., 'J.t- City E714jjt)C Phone~"7'-,"~7 011NER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~----"~ .~J'~----------""--- RECEIPT I: ~ ' ^-I "tL2Lx.,.-, RECEIVED BYl -J' CZ lGL/ ./ . . 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 $ 85,00 ~~ $ 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 $ BO,OO see ItB" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation . Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40,00 $ 40,00 $ 20,00 $ 36,00. . /~D.60 t'",,~D / -"-" r-o