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HomeMy WebLinkAboutPermit Electrical 1992-01-02TY OF -t-ttaN9a-aLLU ab 225 FIFTE SI?.EE[ SPRTNGFTELD, oREGoN 97477 INSPECTION REQI EST z 7!.6-3 OFPICE: 726-3759 ... . t :-', ''Jr ,: t ELECTRTCAL PER}IIT APPLICATIONqlrs3u or DESCRI Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COIiTRACTOR INSTALI^A'TION ONLY Electrical Contrac tor ,fl /Z: Address /C. /o 4 7 Ci ty Phone 22e ?5O3 Supervisor License Ndmber 2( 7/l Expiration Date p d/L constr Contr. Number SS"(s/ Expiration Date Signature of Supervis Electrician Ovners Address Ci ty Phone TION City Job Number FEE SCEEDULE BELOS Nev Residential-Single or HuIti-Family per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof S 15.00 Each Hanuf'd Home or -Modular Dvelling Service or Feeder S 40.00 Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect 0nly Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see I'8" above D. Branch Circuits , Alteration or Extension Per Panel 1 A Sum B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 s 3s.00 s 2.00 4F C LB One Circui t Each Addi tional Circuit or vith Service or Feeder Permi t The installation is being made on property I gvn vhich is not intendedfor sale, Iease or rent. Ovners Signature: E. Miscellaneous (Service/feeder not included' -Each instaLlation Pump or irrigation Sign/outline Light ing- Limited Energy/Res Limited Energy/Comm SI.,BTOTAL OF ABOVE 5f State Surcharge TOTAL 00 00 00 00 @ $40 s40 s20 s36 5 DATE: RECEIHT *: ) RECEIVED B o