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HomeMy WebLinkAboutPermit Electrical 2020-04-22SPRTNGFIELI) 225 FITTE STREET SPRINGFTELD, OREGON INSPECTION REQTIEST: 0FPICE: 726-3759 Zonlng Q_ e_ J;- a7i!6ur&Z6ggnature I L000 sq.ft. or Each addi tional sq. ft or port 200 amps o 201 amps t 401 amps t 601 amps t Over 1000 Reconnec t *1,,i.xlll::?x.jii"",li#,$:,T:the foilowino ,and use "ffi rt ttHoofi*PrroN z\oa CAL PERHTT APPLICATTON city Job Number ?iosqy COHPLETE FEE SCBEDULE BELOIJ Nev Residential-Single orMulti-Family per dvelling unit. Service Included: Items Cost ifli a ].. LOCATTON O ,J A JOB DESCRI Permits are non-transferable if vork is not started vithin of issuance or if vork is s 180 , EIec Address P.O. BOX 23154 Ci ty EUUENE, ()r Phon I Supervi*<or License Number #?3-5 Expiration Da re /O'll-Ol Constr Contr. Number lutrt Expiration Date e,lb-oo Signature of Supervi Electrician c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or }ess S 40.00 over 4b1 to 6oo amps - $ Bo.oo 0ver 600 amps or tbOO voTTs see rrgrr "[ffi- Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permil 2 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL a) n 9t49:de "LlLl_L{?Zt, r less Io 400 amps __o 600 amps _o 1000 amps_ amps/volts _0nIy $ 8s.00 $ 1s.00 s 40.00 :a1op) less 500 ion me. or ng er ers terat ions Sum _@:$ s0.00 s 60.00 $100.00 s130.00 s300.00 $ 40.00 D 0vners Name L( Address 2l t t Wt-/ rt Ci ty Phone 6?4'' 24 f OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: ( s 40.00 $ 40.00 $ 20.00 $ 36.00 5 r+ RBCEIVED f -ST"-iT