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HomeMy WebLinkAboutPermit Electrical 1996-11-4 . . .\ .Jo~?S not require $P9C1f1o bnd UOr8 225 FIFTH STREET "i';."'>' "~o. "if I J) fL-. ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ,: ,J-jiJ1j!llt? 'A. ~~~i~~IO~2~~~~T: 726-~~~:~"woSignatur8 ~ -m 1l;v3ty Job Number I~/r ,/13 1, LOCATION OF INSTALLATlpN 3. COMPLETE FEE SCHEDULE BELOY ~*~~.." 5"3 35" ~df-r.,? 7r /7 2- A. New Residential-Single or '\ Multi-Family per dwelling unit. LEGAL DESCRIPTION Service Included: J7D 2. 3 3 t":r~ A/3b'1J Items Cost Sum ; JO#SCRIPTION .IJ1. . Q,;v~ /t?>. ) Permits'are non-transferable Bnd expire jf work is not started within 180 days of issuance or if york is suspended for 1BO days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ABLE ELECTRIC r Address 5511 MAIN Ci t')1 . SPRINGFIELD Phone 726-6701 Supervisor License Number 3023S Expiration Date 10-1-95 Constr ContI'. Number 92506 Expiration Date 7-16-95 Signature of Supervising Electrician ~- ~~. (.. '--' Ovners Name C:lW.D 1- AII') r I<. -< ) A Address Ci ty Phone V~ -5/r'? OYNER INSTALLATION The installation is being made on property I own vhich is not intended [or sale, lease or rent, Ovners Signature: ----------------//1-/-~--------------- DATE: It) ~//6> . RECEIPT n: '2..1 L.I!! "f- RF.CEIVED ny: ...:;-" ~~I_ 1000 sq,ft, or less ~ B5,00 Each additional 500 sq. ft or portion thereof $ 15,00 Each Manuf'd Home or Modular Dwelling ~~ Service or Feeder -1_ $ 40. 00 ~:t::!::::!_!D-o 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 Oyer 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 D. Branch Circuits $ 40,00 $ 55,00 $ 80,00 see liB" above 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 with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ 40,00 $ 40,00 $ 20.00 $ 36,00 ig;: L,24 132-0