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HomeMy WebLinkAboutPermit Electrical 1991-12-26 ::io'.IIINUr-I~LU 225 FIFl'B STREET 'SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ~'1I4tfD City Job Number * 3. COMPLETE FEE SCHEDULE BELOV 1. LOCAT~gN OF INSTALLATION Y3 / 1/1://" ST A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: LEGAL DESCRIPTION I '70QQ?Lj-2. O/?.-OV Items Cost ,Sum JOB ~CRIPTJO~ dw..~ U~ 1000 sq.ft. or less ,Each additional 500 sq. 'ft or portion thereof Each Hanuf'd Home or Hodular,Dwelling ,Service or Feeder , $ 85.00 -:SlG, tJ Permits are non-transferable and expire if work is not started within 180 days ,of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ON'&I/~ fl..-tjP.-J. Elect'rical contract~\t\>,. ~() ~L)"R 1Jt.G , Address \t>\ ~'t-.~ ft\ City t\1....I\9.....0Phone \,q.,<b-~c;DO 1.5 Supervisor License Number .:Je>-/toCLS Expiration Date /6-"1'';)-- Constr Contr. Number ~;f~ $ 15.00 $ 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 Expiration Date ~' ~ature of SupervisinJ ~IJ~ici~ ~~~/! /:::fy~/~ ~n~:s Na'Zl - I - - , D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or ' 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above Branch Circuits N~w, Alteration or Extension Per Panel Address One Ci.rcui t Each Additional Circuit or with Service or Feeder Permit $ 35.00 City Phone OIINER INSTALLATION $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 ?> Sign/Outline Lighting / $ 40.00 ~ Limi ted Energy/Res $' 20.00 Limited Energy/Comm $ 36~00 'The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: 'to.tfb z,.6D LJ1... C57> 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL DATE: __ (2 -~.,:-",?/ , M,l.lo.u'r I: ~ -:::j' p-'? , RECEIVED BY: :d:::".-~. r//-