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HomeMy WebLinkAboutPermit Electrical 1-4-23 225 FIFTH STREET SPRINGFIELD,' OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERHIT APPLICATION ,Ci ty Job Number q (- ~ ~ I lo 3. COMPLETE FEE SCHEDULE BELOV 1. LOC,ATION OF ,INSTALLATION IA_ ' (:-t'J'l F()(~\ r-n\1CL , . 0, LE\~8~D4(n O~q lS JO~ DE~I1fItON I.'~ /I ./\ ~ /J , ..~, \-. ~ 0 1\ \ {'AJI.J (/~ A. New Residential-Single ,or Hulti-Family per dwelling unit. Service Included: Items Cost Sum ~$ 85.00 55 , . - I $ 15.00 l'6 $ 35.00 1500 sq.ft. or less Each additional 500 sq., ft or. portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of, issuance or if work is, suspen~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractdJ; ~_\.~ ~~ Address ~\~O'LU \ \ ~ , . City 6')O~one t o~Oj~\<65 \ Supervisor d~~ens~ Number ,c~ 'ADS Expiration Da'te \nlllq~, Constr Contr. Number cO (~~J51 Expiration Date 41a4, Ie, I 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 Reconnect Only $ 35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 .. . C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or les's i $ 35'.,00 f35 201 amps' to 400 amps . $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or'1000 volts see "B" above j ~a,ture of supe~,l inngg Elec.trici, an. (r?)(O"J/JJ, I ~ . '// . ::::s{;~~it~J:)) D. City ~(rL.Phon.!41- '8701 OYNE t INSTALLATION . 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. E. Hiscell~neous (Service/feed~r not included) -Each installation.. . Pump or irrigation $ 36.00 Sign/Outline Lighting $ 36.00 Signal Circuit or . limited energy panel $ 36.00 5'. I ?'J.~ O. 0 SUBTOTAL OF ABOVE J.J:)I... } 5% State Surcharge Lo .'I~ TOTAL . /4 I . ?CS Owners Signature: '( ~~~;~---~----~~-~~-JC{lr-----~---~ RECEIPT I: IVf~, ). RECEIVED in: . ~ l1)Q/