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HomeMy WebLinkAboutPermit Electrical 1997-03-26225 FITTE STREET SPRINGFIELD, OREG0N 97477 \.Ltt. INSPECIION REQUEST: 726-3769 0FFICE: 726-3759 Sf,r _,-6FtEL(} ELECTRICAL PERHTT APPLICATION Ci ty Job Nu-mbe, M COHPLETE FEE SCEEDULE BELOV Nev Residential-Single or Hulti-Family per dvelling unit. Service fncluded: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dve11i.ng Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: $# 3 T z< al LDZ.q -U*u,- 1 OF INST TiONALT^ATtt *z 3 A LEGA-L D-l 00 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. CONTRAC"TOR INSTALLATION ONLY Electrical Contractor Address 3373 L W AA.ra-r-n t ciry A#ulEl,(- vhone ffiS-Zt{4O Supervisor License Number Sblq-, Expiration Date lo-l-79 Constr Contr. Number L[s? Ll Expiration Date <- z3-7 ? Signa f Sup sing Electrician Ovners Na Add ress Ci ty VPq )_one INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: R.ECE 200 amps or less 201 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps_ Over 1000 amps/volts - Reconnect 0nly Sum B C s s0.00 s 60.00 s 100. 0o s130.00 $300.00s 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or 1 201 amps to 4 Over 401 to 6 Over 600 amps 00 amps 00 amps or 1000-7ofTs rrgrr .ffir!- $40 $ss S80 see Ses w"00 00 00 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. MiscellaneouS (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res Limi ted Energy,/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTA.L 5 $ 40.00 s 40.00 $ 20.00 s 36.00 40 ao RECEIVED B f)rv.'r JOB DESCRIPTION l?*- u antu-T "t r I -lrt7T