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HomeMy WebLinkAboutPermit Electrical 1998-06-25225 FIFTE STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: OFFICE: 726-3759 1 <./ t ^|,wdffo 726-3t 69 a6 tt SPFI.. - .jFIELEl Ci ty Job Number 3. COHPLETE FEE ent t ems or portion thereo f Each Manuf'd Home. or l'l^r "'l ., r I\ ,ol 'l i n olrwuuro! vnv4--.'6 SerVice or Feeder B. Services or Feeders Installation, Alterations .CT46.or Relocation: 200 amps or less ior .*'p" to 400 amPs ---: 401- amps to 600 amPS --60L amps to 1000 amPs- Over 1"000 amPs/vo1ts - Reconnect 0n1Y C 200 amps''or less,oi ;*;" to 4oo amps -0ver 401 to 600 amps ------Over 600 amPs or 1000 voLts Branch Circuits SUBTOTAL OF ABOVE 5Z State Surcharge 3% Admini.strative Fee TOTAL , -., .. Joor no( requlrc tEo t r:'.;al. b{,ELE.TRT.AL PERurr 3{e/rl{ TION INSTALLATION A 3/S0N il t7 ?enr' DESgRIPTION PTION- Permits are non-transferable and expire if work is not started vithin --- : c ..^--1. :^ ^oI iSSLlalluc ur r I wu!A ro J 180 days 2. CONTRACTOR INSTALI-ATION Electrical Contractor Address *__+, Cos t $ 8s.00 $ 1s.00 $ 40.00 s s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Sum 1 E s Ci ty Supervisor License Number <61 25 TemporarY Services or Feeders inituff.iion, Alteration or Relocation %$ $ $ se 00 o0 00 B" a56v6- 40 55. 80. :g tl Expiration Date Signat rvl.s1 ng Electriciano D OVNER INSTALLATION The installation is being made on piop"tty I ovn vhich is not intended for sale, lease or rent' 0wners Signature: 0wners Address Ci tv Phone DATE: I Nev, Alteration or Extension Per Pane1 one circuit I g 35.00 fr_ s;.lr-AdJi iional -----t- :l';:il.:'r:*1,'"'ut> s 2.oo a- Miscellaneous (Service/feeder not included) -Each installation PumD or irrigation - Sign/Outline Lighting- Limited EnergY/Res - Limi ted EnergY/Comm E 5 $ 40.00 s 40.00 $ 20.00 $ 36.00 ^-lgu*ti {5 RECEIVED Ynone L/752a6 Expirat ion o^r" l% t/Q ? Constr contr . u,tnaet I b4 4 21 OR\S