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HomeMy WebLinkAboutPermit Electrical 1992-10-20 225 FIITH STREET SPRINGFIELD, OHEGON INSPECTION REQUEST: OFFICE: 726-3759 97/,77 726-3769 1. ~cATroN~~1NS1A~LATION '(-)51 \, \,,\..')\.1 ~ I ~ A. ddf)GA>t~S~~0:lrn7J) r 001 V}) I . ,nOD .QESCRIp:frON ex (11 AJlI1I rAJ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. S..IIINGot:'Il.:.LU City Job Number 3. COMPLETE FEE scnEDULE DELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: It ems Cos t Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 - 2. CONTRACTOR INSTA~ION ONLY D. Services or Feeders ^J 'A Installation, Alterations or Electrical ContracttGlr 00 to 111 I hfld- Relocation: Address ~[) ~_ q\()~ Ci ty~.r-p)\~ Phone Cf:\.A,-~lof}Q Supervisor License Number- c!)')()flf:) If). J.q~ Expiration Date Constr Contr. Number (~~R~(() Expiration Date /}, ,!). qc':) Sign~ of supervis{ng Electrician . ~"I^^ f\ .\..\ ~"'-" Q_ Owners NaU (')(\ cl 00 Address B~ I \ 1"f\f1 A i 11 ~ Cit~~l/t Phone]Zo:-.OR13 O\lNER ~N~TALLATION The installation is being made on property I own which is not intended (or sale, lease or ,ent. Ownccs SiLrnaturc: ~~~;~----------()/-t)~~(J~C1t)--~----- RECEIPT 1:v1E::t{ v'.~ ~~(.? RECEIVED IIY ~ J.XA~7 - 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201. amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "D" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit $ 35.00 55 Each Addi t ional Circuit or with Service ::J. or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUDTOTAL OF ADOVE 5% State Surcharge TOTAL $ $ $ $ 3,)~ I.'D~ c-c'j R . '?.. c:; 40.00 40.00 20.00 36.00