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HomeMy WebLinkAboutPermit Electrical 2000-7-7 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION I./t t./;; !/ /'1,',./Yl JhJ e , \ ELECTRICAL PERMIT ,APPLICATION , , .. .. ~ity Job Number OO..-OOCJd-.-:!1---01 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION / 7/1 ~ ~ ;J.C/~ r41t: ,.,f?(P~ I ' JOB DESCRIPTION / 9 /.p ~/)e.~ b, Y'J7A-uJ. J4n,rf Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Contractor , Ci ty Supel-visor Expiration ~ ~, e of Supervising Electrician Ovam Na~e ]?(ii:f4L2qIL/,? f td: D. Addre~s~2 & L~~ :!I-Ih P / City ytl:/ ~J< Phone 74& mlS-' OYNER INSTALLATION The installation is being made on E. roper'ty lawn which is not intended r sale, lease or rent. ~~W~. ... _____J~~~-----------------~------- 5. DATE: ' ' RECEIPT *: RECEIVED BY: , Items' Cost Sum 1000 sq. ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling ~.$ 30 Service or Feeder 40.00 B. 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"oT 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 Branch Circuits ,. New, Alteration or Extension Per Panel One Gircuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $20.00 $ 36.00 _ 2G,~ ,,' zrK\