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HomeMy WebLinkAboutPermit Electrical 1998-06-23CITY OF SPR OREGOA' SP}\ .iFIELO DEVELOPMENT SERVICES 225 FITru SIREET SPRINGFTELD, OREGON 974 fNSPECTfON REQUBST: 72 OFPICE: 726-3759 1 approval. requlne specilc lend TL EI,ECTRTCAL PERHIT APPLICATION THE WOHK ,b Number aToZU COMMENCED OR IS ABS.IDOUEEdi(ET EEE SCffiDIILE BELOII ae erbmltted has tho A 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-37s3 FAX (541) 726-368e Sum $ s0.00 $ 60.00 $100. 00 $130. 00 s300.00 $ 40.00 Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if work is suspended for L80 days. 2. COI{TRACTOR INSTALI..ATION ONLY Electrical Contrac tor E 5 ilt-de,cfro Ca*s- Address Q.oGor )ve'3\ LocATIoN oF INSTALLAIEVI.\I8O DAY PERIODI Bo a^-.\t qr LEGAL Lb 5a r.r JOB DESCRIFTION Ur"+ Phone (o?(o ^bi} 3 \ Nev Residential-Single or Multi-Family per dvelling unit. Service Included:ftems Cost 1-000 sq. f t. or Iess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Ser,yice or Feeder $ 8s.00 s 1s.00 $ 40.00 Ci ty Supe B. Services or Feeders InstaLlation, Alterations(+*E or Relocation: lryC- 200 amps or less 201- amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/voIts -Reconnect 0n1y 200 amps or less $ 201 amps to 400 amps - $ Over 401" to 600 amps - $ 0ver 600 amps or 1000loEs s -Each installation Pump or irrigation S Sign/Out1ine Lighting- $Linited Energy/Res - $Limited Energy/Comm $ rvisor License Number 3*rtl S Exp iration Date /a-( - 1 {> Constr Contr. Number /d t;f Expiration Date v Signature of Supervising Electrician Address t 3O f,/.,'. Ci S1-rr Phone -?)(r- b? 13 U OI'NER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATE: C. Temporary Services or Feeders fnstallation, Alteration or Rel-oeation 40.00 55.00 80.00 ee rrBrr a6ove D. Branch Circuits Nev, Alteration or Extension Per Panel > I^,0ooneCircuit I $35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miseel-Laneous ( Service/f eeder not incl-uded) 40.00 40.00 20.00 36.00 39.OASUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTALRECEIVED 5 l,7T Owners Name Q,Pt st # 0 x t-at*