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Home My WebLink AboutPermit Electrical 1996-07-31225 FTPTE STREET SPRINGFIELD, OREGON 974 SPFlr =IELD not require specific land uee EI,ECTRICAL PERHIT Ci ty Job Number 3. COHPIJTE FEE SCHEDUI-E BELOS A Nev Residential--Singfe or MuLti-Family per dvelling unit. Service Included:ftems Cost $ 8s.00 zon!ng, and approval. D,.tu_f,_MQ_ ,futhorized aQ--INSPECTION REQUESTz 726-3769 OFPICE: 726-3759 1. LOCATION OF INSTALLATION LEN't< 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Sertice or Feeder 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs - 601 amps to 1000 amPS- Over 1000 amps/vo1ts - Reconnect OnlY Sum Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1B0 days. Addres ( 2. CONTRACTOR INSTALI,ATION ONLY B. SETViCES OT FCEdETS Ele c t r i caI con rr ac br c/+g)At)E SErQ-1L::'l:i:3i t ?3;' A1 t e ra t i ons $ 1s.00 $ 40.00 s s0.00 s 60.00 $100. 00 s130.00 s300.00 $ 40.00 Ci ty phr"" ?'/&'7A?A Supervisor Licen se Number S3ISS Expiration Date Constr Contr. Number Expiration Date Signa of ising fi trician Ovners Name Address I Ci ty Phone a 3q1o OVNER INSTALI-ATION 6"^,-l The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: Temporary Services or Feeders Installation, Alteration or RelocationC 200 amps''or 1 201 amps to 4 0ver 401 to 6 Over 600 amps 00 amps or 1000 volts 40. 00 55.00 80.00 ee ttBtt a6ove $ 2.00 ess 00 amps s s $ s Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 E. Misce]laneous (Service/feeder not included) -Each ins tall-at ion Pump or irgigation - Sign/0ut)-ine Light ing-- Limited EnergY/Res Limited Ener[Y/Comm $ 40.00 s 40.00 s 20.00 s 36.00 SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL RECEIVED 5 rupo JOB DESCRIPTION {natrt Fic-/+riou T'b lqLflf!'aL a\Lf \fc'rt a-{) L- INSPECTION REQI.JEST: 7 0FEICE: 726-3759 ELECTRICAI PERHIT APPLICATION City Job Nunb "r4 QLD>> 3. COHPLETE PEE SCMDUI^E BELOV Nev Resldentlal-Single or Hulti-Fam1IY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or }ess Each additional 500 sq. ft or Portlon thereo f Each Hanuf ''d Home or Hodular Dvelling Servlce or Feeder $ Bs.oo s 15.00 $ 40.00 @ B. Services or Feeders Installation, Alterations or ReLocation: SPFrINCFIe'LO 200 amps or less 201 amps to 400 amPs 401 amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY zoning,'ancl apptoval, doee 225 .PIYIr STRTET SPRINGPIELD, OREGON ilPrl@stt97 Zoni Authorlzed 1 OP A IJGAL DESCRIPTI / 703 ON 3/ ( JOB ON fuK Permits are tf vork ls of lssuairce '180 daYs. non-transferable and ex not started vlthlri 180 d s or lf vork ls susPended for 2. CONTRACf,OR TNSTAII.ATION ONLY Electrlcal Contrac $' W Address ctw 5?f b.Phone J +1 -ogll supervisor Llcen.se Number ToaL- S U*pir"tion Date t o-l - ?8 Sum s s0.00 s 60.00 s100. oo $ 130. oo $300.00 $ 40.00 00 00 00 00 D-O Constr Contr. Number ot?7 ExP lratlon Date ?-1 Stgniture of Sufervlsing Electrlcian 0 rners N4ne Add ress /3 f7 o//A/^)tL 'Phone TemporarY Services or'Feeders tnsiallaiion, Alteratlon or Relocation 200 amps or less $ 40'00 over lbr to 600 amPs -f- $ 80'00 0ver 600 amps.ot-i6oO-o"tTs..see 'Bn a5ffi Branch Clrcuits Nev, Alteratlon oi Extension Per Panel C. D. E Cl ty Ctrcult or vlth Service. ;;-F;;;.irPermit '- 3 $ 2'oo Hiscellaneous (Servlce/feeder not included) One Circul 1 Each Addi tional I s 35.00 4* . dlt b -Each lnstallation Pump or. lrrigation Sign/Outllnq Lightlng Llmited EneigY/Res - t imited En-ergY/Conrqr ' " SUBTOTAL OF..ABOVS 5z'stutu Surcharge TOTAL $ 40. $ 40. $ 20. $ '36. DATE:tl; REgEIVED 5 +3ob Adonin E< 31 OIINER INSTALI.ATION The' installatloir 1s belrig made on ;;;p;;i-i-o"n trhlch 1s not intended for iaIe,'leaSe or rent' Ovners Slgnatu.re:.',.: