HomeMy WebLinkAboutPermit Electrical 1993-10-05CITY OF
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The fo,llowing project as o ubmitfc.rd hao
SPF'^lGFIELD
PER}TIT APPLICATTON
tY Job Xr A", ?ViV?:
rEE SCEBDTILB BBLOY
approval.
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225 FIFIjE SIBBET
SPRTNGPTELD, oRBcoN 97477
INSPECTIOT{ BEOUEST; t\6_316g0PPICE: 726-3159
1. LOCATION OP INSTALI,ATION
[-]nte lo-
Authorized
Nev Residential-Sing1e orMuIti-FamiIy per dv-IIing unit.Service Included:LBGAL DBSCRTPTION
I tems
Permi ts are non-transferable and expireif vork is not s tarted vithin 180 d aysof issuance or if vork is sus pended for
180 days.
2- cOlITRAcr0R rNsrALLATr0N 0NLY B. services or Feeders
Erectricar contrac E==csrc ::'i3i*:t?:;,Art"erations
Address \C\Ab S-$e}$200 amps or less
201 amps to 400 amps -E
401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1.000 amps/volts
-Reconnect 0nly
ci Sess Phone
Expiration Date
c
Cos t
$ 8s.00
s 1s.00
s 40.00
$130.00
$300.00
$ 40.00
GA
Sum
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home or
-Hodular DveIling
Service or Feeder
$ s0.00
$ 60.00
$100. 00
Supervisor License Number 3tCl=
Constr Contr. Number
Expiration Date
Signa of sing Electrician
rs Name
Temporary Services or Feeders
Installation, Alteratlon or Relocation
200 amps or less
201 amps to 400 anps -W'
0ver 401 to 600 amps
-0ver 600 amps or 1000-T6[s
s 40.00
$ s5.00
$ 80.00
see rrBrr aEove
Address
Ci ty Phone
OSNER INSTALI"ATION
The installation is being made on
property I or.rn vhich is not intended
for sa1e, lease or rent.
0rners Signature:
DATB:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
-
Each AdditionaL
Circuit or vith Service
or Feeder Permit f $ .2.00 . 1a
E. Miscellaneous (Serviee/feeder not included)
-Each installation
Pump or irrigation _Sign/0utIine Lighting_
Limited Energy/Res
5. STIBTOTAL OF ABOVB
5f State Surcharge
TOTAL
$
$
$
$
00
00
00
00
40.
40.
20,
36.
RBCBIVBD
AFo
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