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HomeMy WebLinkAboutPermit Electrical 2001-1-1 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 ELECTRICAL PERMIT APPLICATION City Job Number O/-OCE3Y -0 I 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATION OF 1i'i~ALLATIpN 237 S- jlr/lW..co//J (2-d A. New Residential-Single or Multi-Family per dwelling unit. Senice Included: LEGAL DESCRIPTION /7032 ~I L( 0/(00 I tems Cost SUm JOB DESCRIPTION uJ I rur E~-[) (Lo~ Srf',()-c:...Cr 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. $ 19.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor Address // Ci~ ~~~ Supervisor Liee*b" Expiration Date ( D. Branch Circuits Owners Name~lI\E:-e h ';~l':... <=:-"" New Alteration or Extension Per Panel m~ IIi- (2J One Circuit Phone -;?!II,. / ! D ') 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to1000amps Over 1000 amps/volts Reconnect Only $ 63.00 $ 75.00 $125.00 $16:3.00 $375.00 $ 50.00 Signature of Supervising Electrician 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts see "B" above Expiration Date { yl City Each Additional Circuit or with Service or Feeder Permit { $ 3.00 1 OWNER INSTALLATION The installation is being made on property I o\vn which is not intended for sale, . 'rase or rent. , igj1~ I"L' E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Conun $50.00 $50.00 $25.00 $45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ltG .72...... :> - >bl <:2-~ ...- 4. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee TOTAL