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HomeMy WebLinkAboutPermit Electrical 1999-01-20( SPFlIl\lGFIELT) APPLICATION225 FIF"IE STREET SPRINGFIELD, OREGON INSPECf,ION REQIIEST: oFPICE: 726-3759 1. LOCATION OF TNST 97 Ioots7 Auiil0rlzco slgnatur€ /.qZb rt4o**a SCRIPTION NOTI JOB DESCRTPTTON E IF THE e and expire of issuance or if vork is suspended for 180 days. 2. COI.ITRACTOR INSTAITATION OI.ILY Electrical Contractor Address J86 DrD" 3/{r/az - citv QOft,na>,-A phone J2? -?B b? Supervisor License Number 3rc 5S Expiration Date o Constr Contr. Number 1,i567 Expiration Date Signature of Supervising Electrician Ovners Name Address City S'P4ber;rn lZ Phone FEE SCEEDULE BELOV A. Nev Residential-Single or t Permits are no if vork is not PEFTfTMftffiii in 180 days o090 telePhone NoriticatiorS 15.00 85.00 ). g 40.00 Cost Sum 00 00 00 00 00 00 + ce or Feeder B. Services or Feedersfnstallation, Alterationsor Relocation: 200 amps or less 20L amps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps-over 1000 amps/volts - Reconnect 0n1y 60 100 130 $ $ $ $ 40 55 BO $ 50 $300 $40 200 amps''or Less 201 amps to 400 amps - over 40L to 600 amps - Over 600 amps or 1000-volTs D. Branch Circuits New, Alteration or Extension per panel Circuit or vith Serviceor Feeder permi t Z $ 2.00 b.A E. Miscellaneous (Service/feeder not included)-Each installation Pump or irrigation g 4O.OOSign/outline Lighting- i +O.OOLimited Energy/Re $ ZO.0O 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAI C. Temporary Services or Feedersfnstallation, Alteration or Relocation s s s ree .bove 00 00 00 Brt a k) OITNER INSTAILATION The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent. 0vners Signature: DATE: OFEGO'V RECETVED oo Mul t i-Fami r dve Servi bY the 7z ?