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HomeMy WebLinkAboutPermit Signage 1992-8-18 225 FIFTII STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 City Job Number OFFICE: 726-3759 1. . ~t5~F ~tr'~N ) II~~:~~N ()~RCY) L JOB DESCRIPTION ~' )\f'\,/i\. , pe~mits ~re non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. CONTRACTOR INSTALLATION ONLY Contractor ) / City ~ Phone / Licen~umb/ Date X ~ Supervisor Expiration Constr Contr. Expiration ate S'... ...f S.....,.,.. E""'i~ 6 ~ , - rJ>'J Owners Name I ol)(Qf . L --r-I\rr tJ~j)i..)../ Address\.. ~~ rill) j A ) , City_ ~j('L~ Phone 7{) b-:Jj7} OVNk. &,JSTALLATION The 'installation is being made on E. property I own which is not intended' for sale, lease or rent. O~Signature: ~~~:c_g~__-: 5. RECEIPT 1I: I ,} --;;- " 1.--.,<-1~ \. RECEIVED BY: ~I 1\1)... /'......... - \..J )~,...- 3. COMPLETE FEE SCHEDULE BELOII A. 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 B. Services or Feeders Installation, Alterations Relocation: or ~ $ 50.00~ 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 $ 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 "BI1 above Branch Circuits New, Alteration or Extension Per Panel One Ci,rcui t Each Additional Circuit or with Service or Feeder Permi t $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting~ Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~0~ 4A :('f ) ~