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HomeMy WebLinkAboutPermit Electrical 1997-01-205.r?!. r.r(;Ft!_aL[) Ll|,+ Sum Authorizsd225 FTFTE STREET SPRINGFIELD, OREGON 97 477 INSPECTION REOIEST: 726-3769 OTFICE: 726-3759 zor*q ( Lz -2ro-ta 1 %, v{oRK PERI{IT APPLICATION gOB Humuer t rEE SCHEDULE BELOIJ sidential-Singfe or Multi-Family per dvelI.ing unit. Service Included: I tems Cos t 'nnn -^ E.t nr- lacclWVv r{ - I L. Each add i. t i onal 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocation: et provi:I. 1 TION OF ALLATION DESCRIPTION A Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CoNTRACToR INSTALI,ATIoN oNL,Y B. Electrical Contractor otan Address P 'o Box lobT SfL Phone @/a"73)5--' 200 amps or l-ess 201 amps to 400 amps -40i amps to 6O0 amps 60L amps to i.000 amPs- Over 1000 amps/volts Reconnect OnlYSupervisor License Number ast-AS- $ s0.00 s 60.00e1^n nnr/4vV. e!. s130.00 $300.00 $ 40.00 Ci ty Expiration Date Constr Contr. N Expiration Date 3-ts-78 .J 4' umber 35U5 I Temporary Services or Feeders Installation, Alteration or Relocation C. 200 amps''or less $ 20L amps to 400 arnps - $ over 4bL to 600 amp-q - $ Over 600 amps or L000loFs se Ci mr trr re of upe!:v j.s j ng El.ee tr j cj an Ovners Name Address l8).5 Vtnttt{ ci ty SPt - Phone 14lr' OVNER INSTALLATION The insta]lation is being made ort property I ovn vhich is not intended for sale, lease or rent. 0wners Signature: DATE: RECEI 40. 00 55.00 Eove 80.00 e rtBlr a D. Branch Circui ts Nev, Alteration or Extension Per Panef One Ci rcui t Eacl'r Addi tional j Circui t or vi tl'r Service or Feeder Permi t 2 E. Miscellaneous (Se::vice/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting_ Limited Energy/Res _Limited Energy/Comm SUBTOTAL OF ABOVE 57" State Surcharge 3Z Admini.strative Fee TOTAI s 3s.oo 35,* s 2.oo 1* $40 s40 $20 $so 00 00 00 00 5 RECEIVED B N -7a OeP.2tu trcii,(Kz-