HomeMy WebLinkAboutBuilding Electrical 1994-01-05225 PITTE STRBBf,
SPRTNGPTELD, OREGoN 97477
TNSPECTTON RE0UEST: 726-3769.
OPPICE: 726-3759
1.ALI.ATION
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5. STIBTOTAL OP ABOVB5f State Surcharge
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The fo_llowing.projoci as submrtted has the1::-,.s, and does-not ,equir" spiitiilLiilapprorral.
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SPRINGFIELO
ELBCTRTCAL PERHTT APPLI TION
City Job Number
PEE SCEEDT'LE BELOU
Nev Resldential-Single or
MuIti-FamiIy per dwelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular DveIIing
Servl.ce or Feeder
s 8s.00
$ 1s.00
s 40.00
U@
Services or FeedersInstaIIation, Alterationsor Relocation:
200 amps or less I201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect 0nIy
-Each installation
Pump or irrigation $Sign/0utline Lighting- $
Limi ted Energy./Res
-
SLimited Energy/Comm $
'1;-,'--. -.,r:':,,::,, 1r!
OP
ffiS{'&H\%on orzoo Sum
JOB
Permlts are non-transferab and expireif vork is not started vithln 1B0 daysof lssuance or lf vork ls suspended for
180 days.,
2. COI{TRACTOR INSTALI.ATION ONI.Y
Electrical Contractor R0SE C0RP
Address 89976 DAy LANE
cl FIIGF'NF'Phone 6a6-905
Supervisor Llcense Number 1568s
ExP lration Date L0/L/es
B
c.Temporary Services or'FeedersInstallation, Alteratlon or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voT[s see uB,' a[6iE-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Hiscellaneous (Service./feeder not included)
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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Constr Contr. Number S4ld;ii'
Expl'ration Date 9/30/95 .
Slgnature rv lsing Electrician
Ovners
Ci ty e
OIINER
The. installatioh is beirig made on
property I own vhich is not intendedfor sale, lease or rent.
0mers Signature:
DATE:
40.00
40.00
20.00
36.00
RECETV?D
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