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HomeMy WebLinkAboutPermit Electrical 1995-04-07S, ^.cFtELO 225 FTFTB STREET SPRINGFTELD Tht lo,loil,tE ptol.ct 4Gril:rg, qad doe nol apptwrl. OREGON 97Nr i i-t -1f# 8$ 4r.rh:- "'" '! F+n t]''i:. t':tii0wng fLiE;iir - .,. . -,:i\.: .,{i4 a A B. ELECTRTCAI PERUTT Job Nurnber I tems 1000 sq.ft. or lessEach additional 500sq. ft or portion thereof Each Manufrd Home. or _._- Modular Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps _- 401 amps to 600 amps .-- 601 amps to,1000 amps- Over 1000 amps/voIts - Reconnect Only *4'B&, INSPECTION REQTIEST 746s'$J6e r^0FPfCE: 726-3759 L LOCATTON OP TNSTALI,AITON, JOB DESCRTPTION Electrical Contractor \ Address Ci ty Phone +.\a --iOG( Supervisor License Number Ju.+ r_rUS Expiration Date ,/r"-/- ?,4 constr contr. Number ioc a\" \ Exp irat Da te S 'eo trician ame dress !; Ci ty Phone *1 qs s\_l OSNER INSTALLATION The instaLlation is being made onproperty f ovn vhich is not intendedfor saLe, lease or rent. 0sners Signature: COHPI-ETE FEE SCMDULE BELOV Nev Residential_Single orMulti-Family per avEIIing unir.bervlce IncLuded: Cos t $ 8s.00 s 1s.00 s 40.00 Sum Permits are non-transferable and expireif vork is not started vithin fBO daysof issuance or if vork is susp"nded for180 days. 2. COMRACTOR INSTAILATTON ONLY s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 C Temporary Services or FeedersInstallation, Alteration or ReLocation 200 amps"or less S 40.00 201 amps to 400 amps - $ 55.000ver 401 to 600 amps - S 80.00 Over 600 amps or 1000-volTs see rrgrr u[[!!- D. Branch Circuits Nev, Alteration or Extension per panel One Circuit S 35.00 Each Addi tional-Circuit or vith Serviceor Feeder Permit _ $ 2.00 E. MiscelLaneous (Service/feeder not included) -Each ins tal-l-ation Pump or irrigation Sign/0utline Light ing- Limi ted Energy/Res - Li mi t ed Ene rgylComm -_ZSUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAT s 40.00 s 40.00 s 20.00 s 36.00 5 DATE: J 7 tRECEIVED B I 6o\-.