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HomeMy WebLinkAboutPermit Electrical 2001-3-1 \IO",11I1l \'lI0\0 o'llaS 0 liS. ~t;i1-0~OCi\iC 10.11 . eC\ 8. ~ .119 Q,ol all \ ~\o"..&\ .toes (\ ~ 1'l100 1I0u ". 225 FIFTH STREET to,,'1I9';. . ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGONal9'1t:'ll 0llill9 ~ :' . INSPECTION REQUEST: 726J:769 . City Job Number()\ .C()\1O;()\ OFFICE: 726-3759 \0 . 0.\11'0 00. aJlfoo S'911 3. COliPLETE FEE SCHEDULE BELOI/ 1. yo~TION OF INSTAA~Tl0N L\:.Y"P... '\\\(\~r\.["\ t' ~\'h"\Q..> A. Nev Residential-Single or liulti-Family per dvelling unit. Service Included: LEGAL DESCRIPTION \ f\ O,?\t) ~ \'2.. 0 \0... 'f\. \_ JOB DESCRIPTION (r\ ""'i7 W'<'-CV"ICl'\" ~1"'1> \\ 'C \.I..~ . Permi ts' are non-~~sfe~able and expi~ if vork is not started vithin 180 days of issuance or if. vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Elect~cal Contractor Address""" City / /' Supervisor Expira tion e r ""- ""- ConstI: Contr. N ate of Supervising E~e~ Ovners Name~. \ \ . 'AY.. ~ . Address \\of\\ ~~"'\/"""\\C\ .\ ~~ . ,- - . Ci ty ~ \ ~.&'fhone'"'A\ .~\('i) OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: --------------------------------------- DATE: RECEIPT II: RECEIVED BY: ? -Zk. -C} / ~7~ ~ Y-~ 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular.Dvelling 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 Items Cost Sum $ 85.00 $ 15.00 . $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation D. 200 amps' 'or less \ 201 amps to 400 amps Over 401 to 600 amps Over 600.amps or 1000 volts Branch Circuits $ 40.00 AJ)~ $ 55.00 $ 80.00 see "B" above Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Ci rcuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 -\D ,00 -i.'f-0 I. 'l..() ~~ .rY")