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HomeMy WebLinkAboutPermit Electrical 1995-02-06SP'lI}TGFIELE'. The tollowing proiect Ioning" and does not as submitted has the require sPecilic lanc {ollowing 225 FIFTE STREET SPRINGFTEI,D OREGON 974 INSPECTION REQITEST z 72 oFFICE: 726-3759 1.INSTALLffiiOffEd use EIASIRICAL PERITIT APPIJCATION City Job Nunbe'9e!-/ tf (: r8t COHPLETE SCEEDUI,E BELOII A. Nev Residential-Single or Multi-Family per dvelling unit. service rncruded' ,a"rs cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof S 15.00 Each Hanuf'd Home or -Modular Dvelling Sertice or Feeder g 40.00 LOCATTON OP\a? i1^il[,) LEGAL JOB DESCRIPIION Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for L80 days. 2. COT.ITRACf,OR TNSTALI,ATION ONLY -: I 3 Sum Electrical Contractor Address Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL 200 amps or less I 201 amps to 400 amps _40L amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect Only 200 amps or less 201 ambs to 400 amps -0ver 401 to 600 amps 0ver 600 amps or 1000-168s B Phone tttLl -AAA b $ s0. $ 60. $100. $130. 40.00 55.00 80.00 5'o, oo : 00 00 00 00 00 00 cit Supervisor L ense Number ld"r6"\ Exp iration Date lO - i -q 5 Constr Contr. Number OX8 4g !Expiration Date g-t--qs Signa.of Supervising Electrician Temporary Services or Feeders Installation, Alteration or Relocation S3oo c $40 ee rBx a56E .5'o. oc: $ s $ s Ovners Name Address 0 Phone 'l +4 - {sotCi OVNER The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ SignZOutline Lightins_ $ Limited Energy/Res - $ Limited Energy/Comm $ 40.00 40.00 20.00 36.00 5 CITY OF SPR o,lEGOTV DATE ! ,frt t,. 50 .5+, O(1 )