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HomeMy WebLinkAboutPermit Electrical 1995-4-12 15n. SeGFIELD " ,,', . , bmltted has the fellowi , The following projoctt89 .9~ire specifIc land use zoning, and does no req approval. Zoninl' M Dt2- 97477 "'I'2--q-)" 726~69 -r - Authorized Slgnstur, tJ m 3. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION City Job Number qCCf)? 10\ COMPLETE FEE SCHEDULE BELOY lo~A~~N()~.Nt~LAf~ \1()3a~~~PT~~ ~ A. New Residential-Single or Multi-Family per dwelling uni t. Service Included: Items Cost Sum 1000 sq.ft. or less c9. $ 85.00 J!J{) Each additional 500 sq. ft or portion A 6D thereof $ 15.00 Each Manuf'd Home, or Modular 'Dwelling Service or Feeder $ 40.00 ,B. Services or' Feeders Installation, Alterations or Relocation: . ",JOB D,ESCRIPTION \.A-.1\ . ~\ o~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTAL 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 ~~~~ Number ~{XJ~ Expiration Date (f).l.qs Constr Contr. Number ~ 7S.\Q .qs Supervisor C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date ~ $ 40.00 y~.,.p $ 55.00 $ 80.00 volts see IIBI1 above 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Signaturjtof Supervising Ele~ian Vi/A/~ , a./~ ! \Jwners ~e 11lrt:K Address ') __~f?a{ 11 1 i1Ild Ci ty a J(J~YlL Phone 41?:5.:lIef{ / ~ALLATION Branch Circuits D. New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 . not included) The installation is being made on property I own which is not intended for sale, lease or rent. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. $ 40.00 $ 40.00 $ 20.00 $ 36.00 Owners Signature: :;2, 4" t::J _ p- I~. -- 7,2,0 -;l_ ~ _~. .;zc::s 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL "1-/<>. 9S" /6 4J :z..9 ./' L.."..:." _..- r.. ~- DATE: RECEIPT 11: RECEIVED BY: