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HomeMy WebLinkAboutPermit Electrical 1995-11-23 I: 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 Authorized Signature 726-3769 1. J,OCtgt OF r{){ 0 0\ J1F;38'?~lION() P()O , ,..lPBJ\ DESqliPTION (\ f\. '"fl--r..", V-+t 'J_I\_~ ~ \~'l ~\'111 ~ pe.mTts are non-transferable and expire' if Y6rk is not started within 180 days of issuance or if work is suspended for 180 days. . ~ .CONTRACTOR INSTALLATION ONLY Contractor / City Supervisor Expiration Date Constr Cont '. NumbeL~ Expirati Date ""- of Supervising Ele~ Owners Na~e\\ fY\.r+lI".D~ Addre~f)l ol olDI.~~~\J( Ci ty ~J.&lL.Phone~\;~ YEt 01lNER '\N~'~TION The installation is being made on property I own which is not intended sale, lease or rent. ers Signa ture 1ltM.. DA~~~-------------~ ~~~~-------- RECEIPT: , . RECEIVED V~f). _ / City Job Number 3. COMP~TE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling Service Included: 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 C. uni t. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ill Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 vol ts see "B'~. a!Jove D. Branch Circuits New, Alteration or Extension Per Panel " One Circuit $ 35.00 Each Addi tional Ci rcui t or wi th Servic~ '{ /l or Feeder Permit .~ $ 2.00 ~ Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limite~ Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 3[(j 6(0. 01. ?l() ~