HomeMy WebLinkAboutPermit Electrical 4-3-4
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SPRINGFIELD
225 FIFTH STREET ~():~ir~~;a~nd does not require specific land LJse
SPRINGFIELD, OREGON 9~~77 ' .
INSPEctION REQUEST: 726-37:699_ l...Dk?:>
OFFICB: 726-3759 'Cif,t"),2~J:/~ ' COMPLETE FEE SCHEDULE BELOY
1. 61~~f) ~u,. ~B ::
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. LEGAL DESCRIPTION
~?\?~~~d 01\ N- r ~ \ ~8'
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. '
I
2. CONTRACTOR INSTALLATION ONLY
"
Electrical Contractor
BILLS
Address
3170 WEST 11TH AVENUE
City
~II~~N~ . Phone.__6.8..7_1RI;1
Supervisor License Number 980S
Expiration' Date
1011/95
"
Constr Contr. Number
~.
21 i 51
Expi'ration Date
4/?R/q4
~:~.a, ~Of ,Super'fising lectrician _
~. C/?/ L
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Owners Nam~ 'LQ 5+-' \ ('t. OJ' .
Address PAq Sq r v(\ 1\ ~~
City ~~/~~l ~hon'~120~
OVNER INSTALLATION
The installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------~~ft-~~~-:---:=:--
RECEIPT I:. tf--J. '1\-:. '! I ~~
RECEIVED BY: \....-~){,~
'City Job Number
New Residential-Single or'
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
B. ~ervices 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 _ACS
$ 15.00 3C)
$ 40.00
{
d
$ 50.00
$ 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
Branch Circuits
( $ 40.00
$ 55.00
$ 80.00
volts see "BII
4-0
above
New, 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 with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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