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HomeMy WebLinkAboutPermit Electrical 1990-11-1 . ~ J:J" SPRlaEL.O ELECTRICAL PEIu!rr APPLICATION Ci ty Job Number. q () I ~ 01- 3. COHPLI!TE FEE SCHEDULE BELOV A. New Residen tial-Single or . Hulti-Family per dwelling unit. Service Included: Items Cost ' Sum 1500 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 'Each Hanuf'd Home or Hodular Dvelling .~ 1(). Service'or Feeder $ 35.00 225 FIFTR STREET ,SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1~. LOCATION OF ,~STAL, LATION LL, ~6z.. S Com hf OJ rl n ve . LEGAL DESCRIPTION JOB DESCRIPTION Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is, suspenped for 180 days. 2. CONTRACTOR INSTALLATI9N ONLY B. Electrical Contractor ~~, ~ Address PS-S W 2 c,t"~ Ci ty ~__ ~ Phone ~ VY -t5au / . Supervisor License Number 9IfS-S Expiration Date /0 /'J 1- Constr Contr. Number (,,>/37 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 J ~5 $ 35.00 $ 60.00 . $ 90.00 $130.00 $300.00' $ 35.00 C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10/ 'If Signature of Supervising Electrician X~.~- --- Owners Name Address City Phone 01lNER INSTALLATION. The installation is being made on property ,I own which is not intended for, sale. lease or ren t. Owners Signature: DATE: / (:7 - YO _ RECEln ,:' " 1><: (() 7". "- RECEIVED BY: C{ ~ ['~ 200 amps or less $ 35.00 201 amps to 400 amps $ 40.00. Over 401 to'600 amps $ 80.00 Over 600 amps or'1000 volts see "B" above D. Branch Circuits New; ~lteration or Extension Per Panel Hiscellaneous (Service/feeder not, included) -Each installation , Pump 'or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel One Ci rcuit Two to ten Circuits Each Addt'l ten or portion thereof E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $,50.00 $ 15.00 $ 36.00 $36.00 $ 36.00 I()~~ p. ,!J~ -1-1 n.!..),:::>