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HomeMy WebLinkAboutPermit Electrical 1991-4-18 225 FIFTU STREET SPRINGFIELD, OREGON 97477 , iNSPEcrION REQUEST: 726-3769 OFFICE: , '726-3759 3. '1. LOCA~ON OF I~LATION lli ' ~_ I (o..~l~ (1)1DOY .UW\.fJ'" WGkL~~SCRIPTION' 0 , I' lU0r4(,,!J R ('J(qO{) ELECTRICAL PERMIT APPLICATION City Job Number . C1'/~~ COMPLETE FEE SCUEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cos t Sum " JOIl DESCRIPTION 1500 sq,ft. or less $ 85.00 \.. <"",'\ ('...yY\ Each add it i onal 500 o sq. ft or portion Permits are non-transferable and expire thereof $ 15.00 if work is not started within 180 days Each Manuf'd Home or of issuance or if work is sqspended for 1.0 'Modular Dwelling 180 days. li I( f1) e)(tJfl.:.iA 0<rLVl{ f5t JiL{r, Service or Feeder $ 35.00 , f1UO -lit.... I 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch'Circuits included). Installation, Alterations Electrical Contractor Jbt-..es SJ,...' (,,111M! {lrp or Relocation: ,Address / In 7f6 b.WHh./ ' Ii ir::: L,v- City ,Phone '-t 0-!-Lj&y.2: "Ce5f"' 1- /- Vp, Supervisor License Number Expiration Date 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 Constr Contr. Num~er C. Temporary Services or Feeders 't U}-z-r( Installation, Alteration or Relocation Expi~ation Date (-I- 4,2 Signature 'of Supervising,Electrician ~;,:. , Owners Name Addr~ss1\qC() ~). City~OiY'l , U _W"'I D. '11J~ (Dmj~O) 11-) Phone ~PA ~-1f f/ OWER INSTALLATION The installation is being, made on property I own which is not intended for sale, lease or rent'- , Owners Signature: DATE: L/ - (i? -11 RECEIPT I: t Lf7:?J' '-J RECEIVED BY: 0. ~ 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Branch Circuits volts $ 35.00 $ 40.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Sign/Outline Lighting 'X $ 36.00 ,'41 () u:J Signal Circuit or limited energy panel $ 36.00 One Circuit , . Two, to ten Ci rcui ts Each Addt'l ten or portion thereof S Lo.CO ! T"P .... ~rJ . P:CL