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HomeMy WebLinkAboutPermit Electrical 1997-04-21CITY OF lrc ,:1...,. :.^a: (r.... ,-1 r.. ,. ZZ5 FIFTE STREET ;-.rr,, ,. i_OR spRrNGFrELD, oREG0N s7477 4 /7r1-F,,7 - INSPECTION REQLTESTz 726-3769- --v*l-' | /,1 yt 1oFFICE; 726-37ss ' . ,i 1!l\1. L LOCATION OF INSTALLATION ., ?7 ,en.)F..a a4, LEGA-L O/0Oo JOB DRSCRTPTION Permits are non ans era b e exp i re if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Con tractor,bzt lr FCca-. Address -fSZ f 44tn- Ci ty 57.rzo, Phone ?26 6Zo/ Supervisor License Number 7 oz-SS Expiration Date /? / t/zf 5I IC:FIL.LD BI,ECTRICAL PERHIT APPLICATION City Job Number COHPLETE FEE SCHEDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded:ftems Cost s 8s.00 A B C 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/voIts -Reconnect 0n1y 200 amps''or Less 201 amps to 400 amps over 401 to 600 amps -Over 600 amps or 1000-7ofTs Sum s 1s.00 s 40.00 s s0.00 s 60.00 $100. 00 s130. 00 $300.00s 40.00 $ 40.00 s ss.00 s 80.00 see rrBtt a6ove L 6 Temporary Services or Feeders Installation, Alteration or RelocationConstr Contr. Number Expiration Date 6 Signature of Supervising Electrician Ovners Na Address Ci Phone D. Branch Circuits Nev, Alteration or Extension per panel e-, One Circui t / Each Addi tional --'--/- Circuit or vith Serviceor Feeder Permi t //OVNER INSTALLATION The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent. Orrners Signature: DATE: $ 3s.00 $ z.oo uz| 7-o 6 E. Miscellaneous (Service/feeder not included ) -Each installation Pump or irrigation g Sign/0utIine Lighting- SLimited Energy/Res - $Limited Energy/Comm S SUBTOTAL OF ABOVE 5Z State Surcharge 32 Admi,ni.s trative Fee TOTAL 40. 00 40.00 20.00 36.00 5 RECETVED B 7.a a 'tng