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HomeMy WebLinkAboutPermit Electrical 1996-10-30.. . ,'l:,:.;:r'..1 not r6quire tnb SPRTNGFIELE, PERHIT APPLICATION Job Nunber q bt t-.1 -7q .,,tk)3":1.* 225 FITTE STREET SPRINGFIELD' OREG0N 97!+7"7 INSPECIIION REQUESTt 726- OFFICE: 726-3759 Pr* 1. LOCATI ON OF INSTALLATION 3. COUPLETE FEE SCffiDtILE BELOV A. Nev Residential-Single or Multi-FamilY Per dvelling unit' 3769 Ci ty Service Included: LEGALa oZ DESCRIPTIONa2- /s /a fo I tems Cos t $ Bs.oo $ 1s.oo $ 40.00 Sumo Permits are non-transferab if vork is not started vit of issuance or if vork is JOB DESCRIPTION and expire 1-80 days pended for L80 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor Address a -) Ci ty prrone 3t{3 I 671 Supervis License Numb er t39 AS Expiration Date Q-t constr contr. Number =b4a c-, Expiration Date Si ture of SuPervising Electrician L Ll Ovners Address FLcfteW Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder P"r*i',"="-/- $ 2'oo d: MiscelLaneous (Service/feeder not included) 1.000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home. or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 20J. amps to 400 amPs - 40L amPs to 600 amPS - 601. amPs to 1000 amps-- Over 1000 amPs/volts - Reconnect 0n1Y SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL Temoorary Services or Feeders iirl.fi"ii"t, Alteration or Relocation 200 amps''or less E 19'99;oi ;;; io aoo amPs - i ::'990;;'-461 io 600 a*fs --. $ eo:99 Over 600 amps or fbOO-voTts see I'B'r above -Each installation Pump or irrigation - Sign/Outline Lighting- Limi ted EnergY/Res - Limited EnergY/Comm hin sus E B C D {^ao*-$ s0.00 s 60.00 $100. 00 $130.00 s300.00 $ 40.00 u it *l cirvMhone hffi -s'ba ovNER rNsrALLATrcn 1iloul ^)o? q,vr - rri,. The installation is being made o piop"ttv I ovn vhich is not intended for-sale, lease or rent' Orners Signature: $ 40.00 $ 40.00 $ 20.00 $ 36. O0 DATE:o - 3o- 4Q RECEIVED A(Dc) 5 z^ aQ -5Gt 3tq n ) _3a.4 Q- t4 ' Oc) abot5b -5u la