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HomeMy WebLinkAboutPermit Electrical 1994-12-9 (2) . , 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 l,t'J . 1. .'LOCATION OF INSTALLATIQ!i... '1 ;Z lTb <J)/Y'-h'~ J),e, City Job Number ELECTRICAL PERMIT APPLICATION t1~ \ f)49J , 3. COMPLETE FEE SCHEDULE BELOY , A. New Residential-Single or Multi-Family per dvelling ~it, Se~vice Included: \~CYlfJ~ON(f)C?t'X) ~ Uoqg- J}lB DESCRIPTION JJ}i;./'/..) <J;::'? Permi ts a~e non-transferable and expi're if vo~k is not started within 180 days of issuance o~ if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto~ (:\ ~\'td I='J,rtf.&k." Address I:::l. ~\U ~~ >"-\0.-. Ci ty rI\ r-Av..s. Phone ~C;-,JJ <,q_ Supervisor License Number _1~fY^ S Expiration Date I D-I-ql/ Cons t ~ Con tr, Numbe~ I C1 '?--l4-~ Expiration Date Cl-L-./-ti5 a}Lf ~::;:t2cian Ovners NameI.lA~.,d 27",/7:' -L'~ ., - , Address "l?'19 ? ~=12_~ Ci ty ~b,. Phone /L)-;'/...,{" ~~ OVNER INSTALLATION The installation is being made on prope~ty I own which is not intended for sale. lease o~ rent. Owners Signature: .' ~~~~:~-:~----~ I ~ P? 1~~---:-~-- REC,EIVED BY: ~. '(:Jjti~i--) - Items Cost Sum 1000 sq,ft, or less \ ~ 85,00 fI; Each additional 500 sq, ft or po~tion 1- ~ thereof $ 15,00 Each Manuf'd Home or Modula~ Dvelling Service or Feede~ $ 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 or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 100u volts D. B~anch Circuits $ 40,00 $ 55,00 $ 80,00 see "B" above New, Alte~ation or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump o~ irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feede~ Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2,00 not included) $ 40,00 S 40,00 S 20,00 $ 36,00 US CO t:; ."} ~_ .3 ft...... j~4 . ?IJ