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HomeMy WebLinkAboutPermit Electrical 1996-09-09approval. Zoni tDL rirg, and does not requ TA SPP^ ;'ELt) 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home- or Modular Dvelling Service or Feeder 225 FIFTE STREET Authorized SPRINGFTELD, oREGoN 97477 INSPECTION REQUESTz 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION LEGAL DESCRIPTION JOB DESCRIPTI o*,A--Q;4V sferable and expire ",",tf, ELECIRTcaL pERHrr APPLTcATToN City Job Nunber 761 COHPI.,ETE FEE SCHEDTJLE BELOV New Residential-Single or Multi-Family per dvelling unit. Service Included: I tems Cos t $ 85.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 3 A Sum P 1 r if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. ?.. CONTRACTOR INSTAI,LATTON ONLY Electrical Contractor Address City- Phone Supervisor License Number Expiration Date Constr Contr. Number Exoiration Date Signature of Supervising Electrician 0vners Name Address A Yhone 2/7*%( Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or 1 201 amps to 4 40L amps to 6 601 amps to L 0ver 1000 amp Reconnect On1 r/?"' amps _amps_ $ s0.00 $ 60.00 s100.00 $130. 00 $300.00 s 40.00 fE.* amps CSS 00 00 000 ,s/vo1ts v c 200 amps''or less 201 amps to 400 amPs - Over 401 to 600 amPs Over 600 amps or 1000-toTT $ 40. s ss. $ eo. s see tt 00 00 o0 B" aEovE- Ci ty ? OVNER INST The installation is being made on property I ovn vhich is not intended for sale, lease or rent' Ovners Signature: Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35'00 Each Additional Circuit or vith Service or Feeder Permit -4- $ 2'00 22. Misceflaneous (Service/feeder not included) D. E -O c -Each ins tal-Iat ion Pump or irrigation S sign/outl-ine Lighting- $ t iilited Energy/Res - $ 40.00 40.00 20.00 36.00 frrte__*_3_Tb_____=-a }Z_EA 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL DATB: RECEIVED B non- t