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HomeMy WebLinkAboutPermit Electrical 1991-09-13C'fY OF SI'TIINGFTELf, ?ie 225 FIFTE STREET SPRTNGFTELD, oRBGoN 97477 INSPBCTI0N REQUESTz 726-3769 0FPICE: 726-3759 1 ELECTRICAL PERHIT APPLICATION Ci ty Job Number 3. COHPI,BTB FEE SCHEDULE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less I 201 amps to 400 amps ' 401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/voIts Reconnect 0n1y c Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel $ 3s.00 LOCATION OF INSTALLATTON,IAt88 Alae7H Tarn DESCRIPTION 0 JOB DESCRIFTION € Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIITRACTOR INSTALLATION ONLY Electrical Contrac to, l,l{, Address 163 7r/fury 57A ci ty-Phone Supe rvisor License Number 3O(L-, Expiration Date Constr Contr. Number otgS( Exp iration Date OIINER INSTALLATION The installation is being made on property I own vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: RECEIPI 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see uB" above Signature of Supervising Electrieian />/*- Q-*** orn"'/nnur" dcoete 6rw, th Address 2l trtr ZotL Ci ty e /FP, Phone 7 ?7 * 2.17C Sum $ s0.00 $ 60.00 $100. 00 $130.00 $300.00 $ 40.00 F o:+w E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res One Circui t Each Addi tional Circuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL $ 2.00 762 4L 6? $ $ $ $ 00 00 00 00 40. 40. 20. 36. gt*5 RECEIVED BY: /a/4r t a a