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HomeMy WebLinkAboutPermit Electrical 1992-01-17C'TY OF 5l" uN(;t:tELO ELECTRICAL PERHIT APPLICATION225 FTFTE STREEI SPRINGFIELD, oREGoN INSPECTION RBQTIBST: oPHICE: 726-3759 1 o 97477 726-3769. LOCATION OT INSTALI.ATION 7ta Sf: *EryYf':6d)* Ci Job Nunber FEE SCBEDULE BELOV Nev Residential-Single or HuIti-FamiIy per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion t hereo f Each Hanuf,d Home or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: ..: ..q 700\13 3 Sum Jop pEscRrPTroN A d d f) t,r r citCk?-f- Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for 180 days. Z. COIITRACTOR INSTALI^ATION ONLY B. Electricar contractor R*-,; [" ,,- l7['.{ Address lklLB L')'".Lu,4AJ Ci ty F^_[t C,Phone 7n6 =3/ Supervisor License Ndmber 3q tAS Exp iration Date l1 ,13 constr contr. Number 65-rlt c ExpirationDate 4-'l\ S ture of ising ectrician N e S+e v^ €h q Temporary Services or FeedersInstallation, Alteration or Reloeation D. Branch Circuits Nev, Alteration or Extension Per Pane1 200 amps or less 201 amps to 400 arnps -401 amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0nly One Circui t I Each Addi t ional Circuit or vith Service or Feeder Permi t 200 amps or less $ 40.00 0ver 401. to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see "B'r above $ s0.00 $ 60.00 $ 100. 00 $130.00 s300.00 $ 40.00 Ci ty qN SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL $ gs. oo zL s 2.00 zpDt.19 hone OVNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: RECEIPT E. Miscellaneous (Service/feeder not included) -Eaeh installation Pump or irrigation $ Sign/outIine Lighting- S Limited Energy/Res S Limited Energy/Comm $ 00 00 00 00 40 40 20 36 RECEIVED BY: L -42-5 4b,75 q^