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HomeMy WebLinkAboutPermit Electrical 1990-10-29 (2) ,.. SPRI.IELC " . . "'/;jj, ' 225 FIFTD STREET ..; ,SPRINGFIELD, OREGON 97477 INSPECTION REQUEST:' 126-3769 OFFICE: 126-3159 ELECTRICAL PERHrr APPLICATION Ci ty Job Number' qD \ 30' 1~ LQ<;ATI~ OF' .I~ALfI1TION '*.(}:Jd "a5~~ \~(\_~ "'~ 3. COMPLETE FEE SCHEDULE' BELOV A. N~w:Restdential-Single.or ' Mul ti-Family per dwelling unit. Service Included: Items Cost' 'Sum' 1500 sq.ft. or less $ 85.00 Each additional 500 sq.ft or, portion thereof' , ' $',15.00 Each Manuf'd Home or . Modular Dwelling , l ,83 Service 'or Feeder $ 35.00 ' ~ D~1\OMJ'\ Permits are non-transferable and expire if work is not started within 180 days of fssuance or if work ,is. suspenged for, 180 days. 2. ,CONTRACTOR INSTALLAnON ONLY , B. . . ,'i' 'Electrical contracto~~O~O~. Addr~ss~'Cot ~ \ \ " , " , . - 4' f ~. . City \())~~~)l\\p Phone ~:--4f) , , Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: , . .' Expiration Date /0- f ~'9 '7- 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 . . Supervisor License 'Number 537'L. 5 Expiration Date ,/0- I ~'7 I C. Temporary Services' or Feeders Installation, Alteration or ,Relocation ,200 amps or less $ 35.00 201 amps to 400 amps $40.00, Over 401 to' 600, amps $ 80.00 Over 600 amps or '1000 vol ts see "B'" above' , '. Cons t r Con t r. Number .2'0-::.? 5- C; c..... City Signa,ture of SuperviSing Electrician "~(l~ C/~--l Owners Name\J\tX;9, ,(; ~ \r ,D. Address ~7->?->5 \:X\Lb\1~~ , " '~ PhoneJ~JB. ~~l5 Branch Circuits .. New; ~lterationor Extension Per Panel One Circuit ' ,Two to ten Circuits Each Addt'l ten' or ,portion thereof $35.00 $,.50.00 , OVNER INSTALLATION' , , $ 15.00 The installation is being made on property ,1 own which is not intended for, sale, lease or rent. ' io i.~ ) E. Miscellaneous (Service/feeder not in'cluded) -Each installation. " , Pump or irrigation $ 36.00 Sign/Outline Lighting' $ 36.00 ' ", Signal Circui t or . . , limited energy panel $ 36.00 3~.au 1 . 'Ie::;; ~1'7~ , " Owners Signature: ~A"T~~-----'--lTJ~W, -- RECEIPT I: " .'.. . RECEIVED BY: 5. SUBTOTAL OF ABOVE 5% State Surcharge , TOTAL ,