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HomeMy WebLinkAboutPermit Electrical 1995-7-19 . . Zonino lA-:r:' fhWRJ-11-'1"'- AZt?6riiU<Sgnature ' rJ "^ 225 FIFTIl STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. ~~~\~~f\~ 0Jlrf) 1lf6~5AfYY) 1. J~B~~) 14m~ . I ' P r its are non-transferable and expire i ork is not started vithin 180 days of issuance or if.vork is suspenaed for 180 days. 2... CONTRACTOR INSTAL]:1ION ONLY _ B. Electrical contracto~~ ~Le~ Addres9. 'Vl\) ~ 9 A City1O.ti..~Ol\h Phone 11Jo'1~ Supervisor Lice~se Number 835~ Expiration Date \'\). ~.~ Constl. Contr. Number ~ \C9~31~. \(). f).~ Expiration Date ~ature of s~~c~an O"".r\\~Drl ('o~. Address ~~ ff\~ l\C' Ci ty ~ 'J.:A.- Phone~. t\-bS OYNE; \N~LLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. , Ovners Sirrnature: (I:::-tt]-~'1-~-------------~- RECEII'T II: C ) J A , <;- / I( RECEIVED BY: ~l~ DATE: 3. ELECTRICAL PERMIT APPLICATION ,Q ~<,ty Job Number q~\..9LV-\ COMPLETE FEE SCIIEDULE BELO\l * Nev Residential-Single or Multi-Family per dvelling unlt Service Included: Items . ~os~ . Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 85.00 \ $ 15.00 $ 40.00 '4f) 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 $ 50.00 $ 60.00 ~() $100.00 $130.00 $300.00 $ 40.00 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 tlB" above Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 40.00 40.00 20.00 not included) 5. $ $ $ $ 36.00 \~~ 1O~.9B SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL