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HomeMy WebLinkAboutPermit Electrical 1995-3-23 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1~., lj-~Qfl"ll:STALU<J.J;Oljij) I I ' (;:, " /7 r..Q., p,1 --- '. ~ . {/ ,., -_..~ LEGAL DESCRIPTION /7~3 24 CJ7J ~/J ?tlc::;; JOB DESCRIPTION . SP~j 1/1 t11 ~ (Y1 PD J1/lV Permits are n~transferable and: expire if york is not started yithin 180 days of issuance or if york is suspended for , 180 days. 2. CONTRACTOR INSTALLATION ONLY. B. "Electrical Co,I~t_rll.c~or ('0lf"17VlSe0-(fU:tuy. . Address Lf;)'/~ tNn((lM'i Ci ty fua0vUL Phone 344-,;);),11 iJ Supervisor License Number .7~;2::~sing Electrician V O;rners Nallie py>j).) !nose; Address 1.310 r'5Yf. . Ci ty ~JVloJ,.UJd Phone 7L/{o-S% 7 I I f/ OVNER INSTALLATION The 'installation is being made on property I o;rn ;rhich is not intended for sale, lease or rent. Ovners Signature: ~~~~~--------~~;;~-3~)~~------------- RECEIPT II: //~ 7/-r<- RECEIVED BY: ~ vc(1 ~Al SPUINGFIELD City Job Number 3. COMPLETE FEE SCHEDULE BELOY qf/7/~ A. Ney Residential-Single or Multi-Family per d;relling uni t. Service Included: 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 D;relling Service or Feeder $ 40.00 - 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 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see liB" above Ne;r, Alteration or Extension Per Panel $ 40.00 $ 40.00 $ 20.00 $ 36.00 <90_00 /r,a:> /.~o ""1/. en -. One Circuit Each Addi tional Circuit or ;rith 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 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) ::10.00