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HomeMy WebLinkAboutPermit Electrical 1992-1-30 ~''''HT'f\.ior-I~LU ? t;, 225 FIITH STREET ...\~~CAL P'ERIlIT APPLICATION \ \ SPRINGFIELD, OREGON 97477 \";B'~.'lh!f!\\~':~~\~;;dU"~ . 17nf'..f\Q 1.1"'1 ~ INSPECTION REQUEST: 726-376?......\_..,..\.\':\;~\.oC\'\\'"o.' Clty Job Number Y ~ OFFICE: 726-3759 ,r": .\' co'" :n ) - 7~~:::,.;..i. '.^~ ~ eOMPLETE FEE SCHEDULE BELOII 1. qj;~~N OF mLLAM.0 ~ ~-ti[ , - q . G r"._.--:~,,~,;..~~cffi_~:;~:~;i:~~S~~~i~i~; uni to ,LEGAL DESCRIPTION m'r...;.;r~" Servlce Included: ..., ('., p.. \ q ('\(') ~""1 X ) Items Cos t Sum cl1no(f~s~n SR eeJ Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRActOR INSTALLATION ONLY Electrical Contractor P1l 'J l~ Address ~qS \'\\00)\ t1'~ Ci ty co)~ Phone 4'1. es-rf122- Supervisor LYcense Number c:OGJ f} ns \(), \ ,q~ Constr Contr. Number (j 4Q. C{Lo \G.\D.q~ .. ~"'~"eZiol= :X"" N.""~XY1A \J.~ D. Address 12 ?l) ~() ~ \nf'CL D.~. Ci ty llH 11 0 ~ i r ttPhone O\INER INS.ttLLATION qoc;r+ I Expiration Date Expiration Date The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: , I , ~~~~~=--F~~=q9:.-':--=~---=--- RECEIPT If: J ~ '")\.od.( .) RECEIVED n Y: 0"\ (i'r.l ___ . . 1000 sq.ft. or less' Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 B. 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 W $ 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 $ 40.00 $ 55.00 $ 80.00 volts see "n" above Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/OutlineLighting Limited 'Energy/Res Limited Energy/Comm not included) 5. $ 40.00 $ 40.00 $ 20.00 S 36.00 "I)[) 00 a.,'-')(') ~~).~ SUBTOTAL OF ABOVE 5% State Surcharge TOTAL