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HomeMy WebLinkAboutPermit Electrical 1996-02-26CITY OF SPF"VGFIELD, OREGON :iPFIrILiFtELD ng as 225 FIYTE STREET SPRTNGETELD, ORBGON INSPECTTON REQTIEST: oFBICE: 726-3759 not rsquire specilic land ue€ A I tems 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Hodular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: Ltr c (- !? zorring, onci does approval. 1.OP INSTALI,ATION I,EGAL JOB DBSCRIPTION Pernits are if vork is of issuance L80 days. non- t rans ferable and expire not started vithin 180 daYs or if vork is susPended for 2. COMRACTOR INSTALI,ATION ONI,Y Electrical- Contractor Son i t ro I S cur i ty Address P.O.Box 21 009 Ci ty Eu ene Phone 461 - 5678 EI,EETRTCAL PERI{TT City Job Nunber 2 SCffiDTII^E BELOIT Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: 97477 b Authorized Cos t $ 8s.00 $ 1s.00 $ 40.00 s see .00uBu aE6G- Sum Supervisor License Number Expiration Date,g _? 200 amps or lessioi "rb" to 4oo amPs -401- amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/volts - Reconnect 0n1Y Temoorary Services or Feeders i"ii"ffaiion, Alteration or Relocation 200 amps or less zoi "tb" to 400 amPs -0ver 401 to 600 anPs - Over 600 amPs or 1000 volt $ s0.00 $ 60.00 $100. 00 s130.00 $300.00 $ 40.00 ,D -/ Constr Contr . Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician Ovners Name Address Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service oi-r"ea"tPermit - $ 2'00 Miscellaneous (Service/feeder not included) -Each i.nstallation Purnp or irrigation Sign/Outline Lighting- Limited EnergY/Res - Limi ted EnergY/Comm I SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL _3G@ 7-Eb 00 00 $40 $ss $80 ci L Phone OVNER INSTALI,ATION The installatlon is being made on ;;;p;;tt-r ovn vhich is not intended for- sale, lease or rent ' Olrners Signature:@ $ 40.00 s 40.00 $ 20.00 $ 36.00 5 DATE: RECEIVED bE ,Ll"lyl o l7d 2//Ll(