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HomeMy WebLinkAboutPermit Electrical 1995-10-06OF SPRcl OREGOA' 225 FIFTE STREET oREGblt:8?477 INSPECTTON REQTIEST OFFICE: 726-3759'A,.lthorlzr*i 1. LOCATION OP INSTALLATION IJGAL DESCRIPTION'25 JOB DESCRIPTION Address 3'?1 tf ?ent eth,s &erk rL{. EI,ECTRICAL PERUIT APPLICATION Ci ty Job Nunber 7 5/5so FEE SCffiDt[J BELOS A. Nev Residential-Single or MuIti-FamilY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home- or Hodular Dwelling Serviee or Feeder $ 8s.00 $ 1s.00 $00 Services or Feeders Installation, Alterations or Relocation: SPFIINGFIELI' 200 amps or less 201- amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 100C amPs- Over 1000 amPs/volts - Reconnect OnlY -Each ins tal-Iation Pump or irrigation ---Sign/0ut1ine Lighting_- Limited EnergY/Res --Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admini-strative Fee TOTAL c h, }f, I?,,ix[ 3ffi;s ff #iPJgg#i.1j5,fl"*,0 t 40 60. l_00. 1?n 300. 40. 40.00 55.00 80.00 ee lfBlt Sum aEove Ci ty e o,L Phone 7 3C( $ s $ s $ s 00 00 00 00 00 00 50. Supervisor License Number 1 {u€- Expiration Date,6 Constr Contr. Number Expiration Date /t /rr S ture of SuPervising Electrician tA). 87€AL Temporary Services or Feeders Insiallaiion, Alteration or Relocationc E 200 amps''or less $ 201 amps to 400 amPs - $over 4b1 to 600 amps - $ Over 600 amps or 1000 voITs s OVNER INSTALI-ATION The installation ls being made on property I ovn vhich is not intended for sa1e, lease or rent' D. Branch Circuits Nev, Alteration or Extension Per Panel one Circuit \ g 35.00 <9:oa Each Additional :l';:::":'nxl,ll,t""t'k $ 2.oo z-* '? Miscellaneous (Service/feeder not included) Ovners Name Address 0vners Signature: $ 40.00 $ 40.00 $ 20.00 $ 36.00 <7e DATE: RBCEIVED B 5 -/ .grf___+;77_ --373+ SPRINGFIELD, ."?1f Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTAILATION ONLY B. Electrical Contrac tor /b/Y 6l<< h*er,;' i:^ - P/l,/Er ),1724