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HomeMy WebLinkAboutPermit Electrical 1991-8-7 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. .lp.wfO~F ~:;TALI.A;rION " c~ - D +\C\ '\\ \ ()\!... j 3. COMPLETE FEE SCHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION -t ~~CRIcrrJt)H ~~ ' -I Permits are non-t~nsferab1e and expire if work is not started within 180 days of issuance Dr if work is suspended for '180 days. 2. CONTRACTOR INSTALLATION ONLY /\ Address City Supervisor , Expiration Date ~onstr cont~umber EXPirati/Date '\iignature of Supervising Electric~ \. ~', Owners Na . Addres~ p () ~'" City Yt n.e 1\0 ~ Pho~e G OlINER INSTALLATION ~ ~ 1000 sq. ft. or less Each additional 500 sq. ft or portion thereDf Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 15.00 $ 40.00 Services, or Feeders Installation, 'Alterations or Relocation: . B. 200 amps or less ~ 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts ReCDnnect Only C. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 rt? 0 /J.J I ~'vJ~a~,;.h ~ircui ts ~ /~!,~eration The insta11atiDn is being made on E. property I own which is not intended fDr sale, lease Dr re~ W~iibdZ'n L~O^ 5 DATE: ~.Cf ~ / . RECEIPT i:-,- I VIA. 1/ RECEIVED BY: "--flfc/ J A j volts \ $ 40.00 $ 55.00 $ 80.00 see "B" above or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation' Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~cO cSJD(l zg:j.O