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HomeMy WebLinkAboutPermit Electrical 1997-8-20 (2) 'J'(l;"~"':' ,~jo, ~ I I J . ~ suomI' 00 mst!l: A'~' '~-",'iJ,'n, and docs not require Ilpocif,'c Ir-n' 'VOY,W(W3.i. ' , - , l'1t;8 A ~O~ loninr; t, d V -4Ul'f.n ~1YiI,JO>i.1"- 225 FIFTH STREET COA", O.-9J~~'j ~ih,., ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON ~AJli4t(:'M~~UM:~~ure-.O VV\ . 'I q INSPECTION REQUEST: 7~~6~(:'D6." ~t~jJ ~~IY(:' Ci ty 'J~b Number '1 ("(<?() OFFICE: 726-3759 DAly ~ /~ 7gs $1'; , ,o(:'~a 4';f~ ~-'9~ e'~TE FEE SCHEDULE BELOY 1. {.O.s:;AT:ON 9f_ ~li5!ALLATION J ~ f)O~ Vl'/8 ~-t l"t5 0 \'lJUf1"( urtD ~D,("A1eVlt@.rsidential-Single or ~lti-Family per d~elling unit. ~~~~S~PTION ~~ Service Included: /, JU5;V )3.") n"ru Items , - rO. J~~~040_ 2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders \..1 fl-,rt-): Installation, Alterations Electrical Contractor el\~t)\(\:S Q1.)\; r-Cor Relocation: Addres-s~ 0f'f\ - \ \\1\'" City U~O~ Phone ~'~:illJl.l Supervisor License Number ~~lJ~ \C\ \. 1~ Constr Contr. Number \~~~ d--~ "9~ -, 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'D~elling Service or Feeder ~. Permits are non-trans e able and expire if ~ork is not started ~ithin 180 days of issuance or if ~ork is suspended for 180 days. Expiration Date 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. Cost Sum $ 85.00 '$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ; 200 amp~~T less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 O~n of Supervising Electrician ~~~--, ~ \J.~ iv ~l\-\-m _ ~ Cili-tx\ lCYXlA Branch Circuits D. $ 40.00 $ 55.00 $ 80.00 volts see "B" above Addre,s \4., Cit~,~~' Phone d~ USTALLATION Ne~, Alteration or Ex~ension Per Panel a.~. COO $ 35.00 ~ $ 2. 00 ~ ''"-' \ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or ~ith Service or Feeder Permit l The installation is being made on property I o~n ~hich is not intended for sale, lease or rent. E. O~ners Signature: 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL DATE: RECEIPT #: RECEIVED BY: t not included) $ 40.00' $ 40.00 $ 20.00 $ 36.00 ;J~.{X) ,. ~ (. ( , ~