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HomeMy WebLinkAboutPermit Electrical 2000-5-25 v- --~.~ e" '~ti, ~ o~ ,_~ 225 r.a.rUl ,).......... '!P.. ~ft,g. a lv/~gf), . ELECl'RICAL PERKIT APPLI, CATION SPRINGFIELD, OREGON 974ifro"al ~a ao.",j.Clas ~).r.:J \ INSPECUON REQUEST: ~6-37~ ~Ol r.;~1""/f.a City Job Numberffi. /")( i.::f't"rY{) OFFICE: 726-3759 a,. ~/~g r. spec~aslt,." "'illt, 3. fie ..ii(tl&,.."..." FEE SCHEDULE BELOV Or!la...._ ~Jbs~ 1. LOCATION OF INSTALLA'H'Ultg/l ~1 (lJM tJ)l alilr. ~'-IIIr""""'I,;,&.U \f)~~tf4~PT~ ~ AtfiO JOB DE~CRIPTION - ~lJ~ W Im-rJU 1Al-f}lI\M~ Permits are non-transferable ad; expire if work is not started within 180 days of issuance or if work is suspended for 180 days. w Residential-Sing~e or Mul Family per dwelling uni t. Se ce Included: Items Cost Sum 1000 sq.ft. or less \ $ 85,00 '1&DD Each additional 500 sq. ft or portion 3 ljS,(J't) thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or "Feeder $ 40.00 2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders )jdE OJ} . d Installation, Alterations or Electrical Contractor T. r'~e;(N.LML Relocation: ' Address fD.Box I (P80 City1}( ha J11k.57~l! 'Slf (-'1(07- '61027 Supervisor Liceflse Number ';) q '6 5 I()- I-IJ() Constr Contr. Number ,;;( C( '2 (5C!.. 10-/- 6[) Expiration Date Expiration Date Signature of Supervising Electrician X ~~ ~~ Owners NameJ;r.O () .'-{ 1Al~ Address ~(~ ~~.' ' Ci t~l (Qu ~ Phone.. ~ \ l\{) . 4-310 OWER INSTALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. IjOO~Tignature: : 39Nl'iH::1 OO':;:t: $ ::!IDJ:J 11:1: . . ~~~~~~~~~------------~------------- RECEIVED BY: 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 $ 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 D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit' $ 35,00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. ~UBTOTAL OF ABOVE 7\% State Surcharge , TOTAL 3'" C?~ Fl.; 'Tu-taJ! $ 40.00 $ 40.00 $ 20.00 $ 36.00 /30.0-1; 9../0 3. 'If) ILf3,o-f)