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HomeMy WebLinkAboutPermit Electrical 1994-10-29OREGO'VCITY. OF 225 FTYtg, STREBT SPRTNGFTELD, OREGoN 97477 INSPECTTON RXQIIESTz 726-3769 OFFICE: 726-3759 1. LOCATION OF TNSTALLATION 3 A SPh -:FIELD EI,ECTB CAL PERHIT APPLICATION City Job Nunber L(lu COUPI,ETB FEE SCMDUI,E BBLOS Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ Bs.oo $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: Sum)ozq JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of i..r"tce or if vork is suspended for 180 days. 2. COI\ITRACTOR INSTALTATTON ONLY B EIectrical, Contractor Son i trol Secur i ty Address P.O. Box 21009 Ci ty Euqene Phone 461 -5678 Supervisor License Number lTgO J-LE, Expirat ion Date /D - t-q6 Constr Contr. Number 65149 Exp iration Date 6-28-96 Signature of Supervising Electrician nn .,].,A r!'l .r'k "^,rt Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 20L amps to 400 amps - 401 amps to 600 amPs - 601 amps to 1000 amps- 0ver 1000 amps/volts Reconnect Only 200 amps 201 amps Over 401 Over 600 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 50. 00 60.00 00.00 30. 00 300.00 40. 00 1 1 $ $ $ $ $ $ C or less $ 40.00 to 4oo amps - S 55.00 - to 600 amps - g 80.00 - amps or 1000 vol-Is see "Bu abive- Ovners Name Address & rn e Ci ty Phone a44 -Df// OYNER INSTALLATTON The installation is being made on property I ovn vhich is not intended for safe. Iease 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 install-ation Pump or irrigation Sign/Outline Lighting Limited Energy/Res - s 40.00 $ 40.00 s 20.00 s 36.00 w 5 DATE:0 I o RECETVED B 38 98 ii