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HomeMy WebLinkAboutPermit Electrical 1997-4-11 . jtt-d n-s \h ~ .\: .lJ.'. 'lect as subm -i '1 I' n~ l,;...J The 1o\\owing rvreQUif3 Specl Ie - zoning. and d S approval. zonirl9--tJ.DA- q1 97477 ""Ie &-t-' I \ ' 726-3769- i nalure_ AUlhorlzed S 9 , 3. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. F INSTALLATION ~1 t .J ON !:AAAt"DE I.~S, k .JOB D!&S PTIO~ . ~ Q P 1m, .( Y\ Q'f\ ~ perm~~s are n -trans rable a~Pire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. Expiration Date The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ~~~~~-------------~-~~rr~~------- RECEIWlI: :~. /\, " cc;r( '\ ::J (~ :< RECEIVED BY: 't/ )U~-'-"~ ELECTRICAL PERHIT APPLICATION qq{~\4 City Job Number A. COMPLETE FEE SCHEDULE BELOY Nev Residential-Single or Multi-Family per dvelling Service Included: 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: 2. CONTRACTOR INSTALLATION ONLY Electrical Contract<\rA~O.1lt J flQ~ Add2)SS \C\f\[) ?___y,'\'Y\ d -,' 200 amps or less I $ 50.00 .!5~ ~ rL ..., A- '7-1,.....).,. 201 amps to 400 amps $ 60.00 Cit Phone \"Tl'~.....J 401 amps to. 600 amps $100.00 \ ~~~ 601 amps to 1000 amps $130.00 Superviso License Number ~ )\~~Over 1000 amps/volts $300.00 \.D. \ .~ Reconnect Only $ 40.00 Expiration Date lr\r\ C. Temporary Services or Feeders Constr Contr. Number .,,' 1 Installation, Alteration or Relocation (~'~'J- .4tL :;~~~~ "oo,<i<i., jners Name . .~. I . ddre[:~ ) ),-ttwr . Ci t~J..XJlA V Phone ~I' \oICO OVNER INSTALLATION uni t. Items Cost Sum $ 85.00 $ 15.00 $ 40.00 200 amps"or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits Nev, 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 vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ $ $ $ .~ () CV A >0 L.'f:Q 54 PO 40.00 40.00 20.00 36.00