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HomeMy WebLinkAboutPermit Electrical 1996-1-18 . \~~H'()3 B S 0 (~\u ) -transferab;e and ~ire started within 180 days if work is suspended for Permits 'if work is not 'of issuance or 180 days. CONTRACTOR INSTALLATION ONLY / Electrl 1 Contractor / / Address City , Supervisor ture of Supervising Eiectric . SPRINGFIELD... . Items 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof , Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 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 ",ii. ~ Cost Sum $ 85.00 $ 15.00 $ 40.0Q $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.QO C. Temporary Services or'Feeders Installation, Alteration or Relocation (JC) 200 amps or less --L $ 40.QO 1f)2 2Q1 amps to 400 amps $ 55.00 Over 401 to 60Q amps $ 8Q'.00 Over 60Q amps or 1000 volts see "B" above ;. ~l/JIers NameJtlttll(J.l~~D. Address, (~~~~ Cityptione.1ffi'~1(p . -. ;I.I~: ..Hh , . -i,L\!r f...~...v , .."prova!. , ~ P--/ 225 ,FIFTH STREET ZOning 1/' ELECTRICAL PERHIT APPLICATION SPRINGFIELD, OREGON 97477 [;,,10 1- -}c? flt:!.\On (".I INSPECTION REQUEST: 726-37A~~orizedSlgnatura ..42..-<D City Job Number ~r-, 1\L."t\ OFFICE: 726-3759 ' I 3. COMPLETE FEE SCHEDULE BELO\I 1. fWa.T T~IOV .Qf_.,r!l~~.,lLA".OT,Wi " -L. lA\ ~ 11\'~ \'~ A. Ne... Residential-Single or Multi~Family per dwelling Service Included: The installation is beirig made on property I own ,...hich is not intended for sale, 'lease or ren t. ' ,Owners Signature: " " , . ~~~~I~ RECEIPT, i: ,,\ 1 . ~ ," - ^,~!'.Q RECEIVED BY:~l )N,\'Rf\' Branch Circuits New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation' Sign/Outline Lighting Limited Energy/Res ,Limited Energy/Comm One Circuit Each Additional Circuit or ...ith ~er~ice, or Feeder Permi t E. 5. SimTOTAL OF' ABOVE 5% 'State Surcharge ,,".MIML. ~ $ 35.00 $ 2.00 not included) $ 40.00 $ 4Q.QO $ 20.00 $36.00 4P.. CO 4:~