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HomeMy WebLinkAboutPermit Electrical 1993-1-15 .j .) .) Thoe following project Ot; submitted ha- the follc\':ing ttf 225 FIITH STREET ~~~ir~~afnd does not require specilic land uoe ELECTRICAL P'ERllIT APPLICATION SPRINGFIELD, OREGON 97477 , ( ( q.2fV\e:/") INSPECTION REQUEST: 726-3769n,"9-;;=- . Ci ty Job Number ~_ OFFICE: 726-3759 Oale_! - I.... -9.J> S \ 3. Authori:rAd Signature 1. LOCATION OF INSTALLATION 1011 ;..h...,...(e>c.....- Q,.l COMPLETE FEE SCHEDULE BELOV A, Nev Residential-Single or Multi-Family per dvelling Service Included: unit. J0l5:-\~~N n91~ Items Cost Sum JOB DESCRIPTION Low V",I.J.~" \.. <~...~ L ~~, fE~ 1000 sq,ft. or less. Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 Permits are non-transferable and expire if vork .is not started vi thin 180 days of issuance or if vork is suspended for 180 days. $ 15.00 $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders, Installation, Alterations or Relocation: 'Electrical Contractor ~~ Address/S'"'c.:> ( 'P...._o--l Expiration Date ItJ-{-"7) 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 City ev",-~ Phone, , Supervisor License Number 'j(sz. ~Lb- ConstrContr. Number 5"""'1'7 'f'-{ C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date '-I-2..Cf- 'f'J 200.amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" Signature ;Of; ~ervising.Electrician, ~,;) ~,..~- ~ D. Ovners Nanie {.~ PI4....~:~c Cer.s...-{L....,~ above Branch Circui ts' Nev, Alteration or Extension Per Panel Address <;,""........ .- City Phone One Ci.rcuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 OVNER INSTALLATION $ 2.00 The installation is being made on property I ovn vhich is not intended for sale. lease or rent, E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline. Lighting $ 40.00 Limited.Energy/Res $ 20.00 Limi ted Energy/Comm Xi $ 36,005'''''''''' 5. SUBTOTAL OF ABOVE >b. 0:>0 5% S ta te Surcharge --l..<..~( ~ TOTAL .....2LD)U Ovners Signature: :~~~::-::D7-~r~~~~r~----~ RECEIVED ni{:, !}1L..V1 = )"'". j .