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HomeMy WebLinkAboutPermit Electrical 1993-4-12 ,) J .-- (~Q AbD8sS 'fc--r ~\,U"..:) ..<-,\'(\0..\ .\fi70 SPRINGFIELD .in" _...ou ~o\\;;r""- tG'.....- .1'\~9-.,.{\Q\ ~. o\\o'.:~" ';c..oe~ ~ ~ '1,,0\ 0." \~, .,....--_ 225 FIFTH STREET ~,>-,:,:~~,,\. c ~'--~bECTRICAL PERHITAPPLICATION SPRINGFIELD, OREGON 9747T"'? ';"0,,1<'" _~'1 INSPECTION P:QUEST: 726-3769 A~ City Job Number, q3cJ4-5~ OFFICE: 726-3759 \)".,....----- <,;,<:P"\"'. , .\1.00 3. COMPLETE FEE SCHEDULE BELOV 1.LOCA~INSTALLATION"vS'0, , /1'116 I Hl-BI=.7i::T ' A. New Residential-Single or I.. l " /' Multi-Family per dwelling unit. ,IAG~CRIPTION " Service Included: /Y~('J-:J-OC;Z::3 dol Items Cost Sum 200 amps or less $ 50.00 ~ amps to 400 amps $ 60.00 4 amps to 600 amps $100.00 J 1 amps to 1000 amps $130.00 ~' 0 r 1000 amps/volts $300.00 Reconnect Only $ 40.00 .. C. Temporary Services or'Feeders Installation, Alteration or Relocation , - JOB DESCRIPTION E:~RIcm.. -a.NlIbJe7 .8R~~ R"J S,F, h;s, Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone " Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Name~hA>'-/ /7/7~/.,{(,. ..- ".. " Address 32, 'jS~ T) sf. ~ Ci ty y;:, "f. Phone 72.L. L- OVNER INSTALLATION s'tL~ The installation is being made on E. property I own which is not intended for sale, lease or rent. Owners Signature: ~::!_::~-{!tt!l:----~-~ 5. DATE: "--f"- 12-:'-"\.....) RECEIPT I: 'fllJ..{1 RECEIVED BY:, ck\ 1\0 '~ 1000 sq.ft. or less I Each additional 500 sq. ft or portion thereo f I Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 85.00 .?5~ $ 15.00 /5<e $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "B" ahove New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ ,2.00, Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 #/tZJ. ~ _ S.e:o 15165:~