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HomeMy WebLinkAboutPermit Electrical 1996-7-8 (2) -. ThO fcH'Jwi:1g projoct a~ sUbmttted, . as e 0 z('d,'" J ~.nd 6vt3~ not require SpDClftC land use cr:~r._'~'el. " t-d- Zonirl-'J-L DIll91,~.~(J . 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 97477 ActhNlzsd Signature 726-3769 ytCA1;I.ON ~^INS.TALLATION l-'\\)'f., U'U lo1\O .... \~~<rr~~r rfYtL1) A n I~OB ,DESCRffiION ~ ~. :J\(\O \J\0J\,Qf ~, Permits ar~ non-transfer~le-and expir if york is not started vithin 180'days of issuance or if york is suspended for 180 days. y CONTRACTOR INSTALLATION ONLY B. ContI!'actor Address / / City ne L Supervisor Expiration ~ ELECTRICAL PERMIT APPLICAAI~D City Job Number 0\\Q'CJ~1 . 3. COHPLETE FEE SCHEDULE BELOY A. Nev Residential-Single or Hulti-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof .~ Each Hanuf'd Home. or Hodular 'Dvelling Service or Feeder $ 85,00 $ 15,00 $ 40.00 Services 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 $ 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 $ 40.00 201 amps to 400 amps $ 55,00 of Supervising Over 401 to 600 amps $ 80:00 Over 600 amps or 1000 volts see "B" above ~vners Name ,\~ ~a\\f\~m Address C\Cf6 ~ \ Q1\ ~ Citib?1\ct PhonefJ4~ .()Y2-- OYNER INSTALLATION The installation is being made on property I ovn vhich is not intended ~or sale, lease or rent. Owners Signature: ~A~~~-----------------<<1~~~C\-((?---- RECEIPT #: I I \f"'>.^ ) RECEIVED By:_'Ph H.A../ " D. Branch Circuits o' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2,00 E. Hiscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 40.00 40,00 20.00 s. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ $ $ $ 36.00 ~~ ,. ';:)lJ. ~4 _ t:U "