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HomeMy WebLinkAboutPermit Electrical 1991-9-25 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 City Job Number Q//'t:/22, 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION O.l'--INSTALLATI~ f.$'3 K..,.v-/-...<<-. ,)..... New Residential-Single or Multi-Family per dwelling unit. Service Included: A. LEGAL DESCRIPTION I-...t ff 3e9 IY.,""b,,, t:-sl.;iv' -..J....,J ;.j,fJ./co..' It ems Cos t Sum --L L/ $ 85.00 5<SClO JOB DES~PTION -;:) s,.v,~ I.. rr..., IJ /'( r > ,J, ~rJ:.... Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder $ 15.00 ~.CX) $ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor ~~I\.<I ~ Address,'1703 'Deuc.t\-7 Vl'r~ ~~~. Ci tyCOTTAt.e- ~(4";e Phone 911..- 71, 7 'L Services or Feeders Installation, Alterations or Relocation: $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Number "2.:1}JOR'S "3h Z- Supervisor License Expiration Date C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Contr. Number "Zo- J7bC- Expiration Date ""3/q7..- 200 amps or less J 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts 400() $ 40.00 $ 55.00 $ 80.00 see liB" Signan of superv~~ing Elec~rician ~A.~. . OJ above Branch Circui ts D. Owners Name New, Alteration or Extension Per Panel Address $ 35.00 One Circuit Each Additional Circuit or with Service or Feeder Permit City Phone $ 2.00 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 Owners Signature: /B <ey-,-- '5'.75 /9<./. ~~ 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ~~~~--- L-f ~-s~crr=-~-~-~-~----- RECEIPT 11: ; OJ I~ I () RECEIVED BY: 1'--1 ~fJ ~ y,- ' -