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HomeMy WebLinkAboutPermit Electrical 1991-3-20 (2) '" I ELECTRICAL PERMIT APPLICATION . City Job NumberilLl2llo3 3. COMPLETE FEE SCHEDULE BELOV . 225 FIFTH .>uu."'. SPRINGFmLD, OREGON 97477 . INSPECTION REQUEST: .726-3769 OFfiCE: . '726-3759 1. ~TI..QNOF ~STALLATION .-Il' . hCJ A I lln f'Gf.::f!\(~..... A. New Residential-Single or . Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION Items Slim Cost 1500 sq;ft. or less ~ $ 85.00 2&.- Each additional 500 sq. ft or. portion 30.- thereof 2- $ 15.00. Each Manuf'd 1I0me or Modular Dwelling. Service or Feeder $ 35.00. PTION1 riuJJtbQ ..) Permits a e non-transferable and expire if work s not started within 180 days of issuance or if work 1s suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~~ . Address f)qf}fl ~ D V.... C:;(I'J111j~ City ~ ~7~Ph~neG42.: ,<'=)1977- . Supervisor License Number cl)f)()RS ID,lLjEJ 'Constr Contr. Number .:3 X X 5 Co c9 { nJ q '2-/ . B. Services or Feeders (10 Branch'Circuits included). Installation, Alterations or Relocation: 100 amps or less . 101 amps to 400 amps 401 amps to 600 amps 601'amps to 1000 amps Over 1000 amps/volts Reconnec t Only . $ 35.00. $ 60.00 $ 9.0.00 $130.00 $300.00 $ 35.00 . . Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less JJJ:L $ 35.00 C21 201 amps to 400 amps $ 40.00 Over 401 to 600 amps' $ 80.00 Over 600 amps or 1000 volts see liB" above Expiration Date Si~~::>'Of Superv1sing.Electric1an . ~'. ~ ~()~~.J) .. . . L u'L) Owners Na~~~ Tll )) ~ J) Mdr~ss.b)qq3' ~S City . gOqe/LLPho~e_4K5 -,~'-10 . . OVNER IJJ.r~TION . . ' D. Branch Circuits New, Alteration or' Extension Per Panel One Circuit . Two .to ten Circuits .. Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $15.00 The'installation is being. made on property. I own which is not. intended . for sale, lease or rent,' Owners Signature:' E~ Miscellaneous (Service/feeder not included)' -Each installation Pump or irrigation' Sign/Outline Lighting . Signal Circuit or limited. energy panel $ 36.00 $ 36.00 $ 36.00.' J J 5".'Jt~ ~.?S- /a.O.7S . ~ 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL DATE: ,~.!:)(). ~I . RECEIPT I: ~ . H47::L RECEIVED BY: / )C--Ll . . I "