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HomeMy WebLinkAboutPermit Electrical 1994-07-12t ,a I I aa 225 FIFTB STREEf, SPRINGFIEID, oREGoN INSPBCTION REQTIBST: oPPICE: 726-3759 9747 726-3769 Ca!e a 1 LOCATION OP INSTALI-ATXfltrorizea bLT TINftMDi) JOB DESM.IPTION Permlts are non-transferable and explrelf vork ls not started vlthin 180 daysof lssuance or if vork ls suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONIY Electrical Contrac tor €]Jh€N€ €tgL__ Address z^a ctt@ Phone 34* -S sb Supervisor Licen Explratlon Date se Ndmber LDn S Constr Contr. Number Zo -z'Lo L Expiration Date Wl o r lq4 Slgnature of Su pervlslng Electrlclan bllowlng u80 ELECTRICAL PERHIT AP City Job Number q SCBEDULE BELOV Nev Residential-Single or Hultl-FamiIy per dvelling unlt. Service fncluded: ?ilXPf$"i'X"*'il: 0i! 4L-q k @ A B 1000 sq.ft. or less Each addltional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder Services or Feeders fnstallation, Alterations or Relocation: 5. STIBTOTAL OP ABOVE 5Z State Surchar Items Cost Sum s 8s.00 s 1s.00 s 40.00 d200 amps or less t201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nIy Pump or irrigation $Sign/outIine Lighting- SLimi ted Energy/Res - SLimi ted Energy/Comm S s s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 c Temporary Services or peeders Installatlon, Alteration or Relocation 200 amps or less 201 amps to 400 amps -over 401 to 500 amps -Over 600 amps or 1000ET[s Branch Circults Nev, Alteratlon or Extension per panel one Clrcuit S 35.00Each Addi t ional Ci rcui t or vi th Servi ce h ,lDor Feeder Permi t L S 2. 0O Ay Hiscellaneous (Service/feeder not included)-Each installation 7 $ 40.00 $ ss.00 $ 80.00 sge ttBtr a Stve DOvners Nanie Address Ci ty Phone OVNER DATE: RECEIPT ON The installatlon is being made onproperty I ol.,n which is not intendedfor sale, Iease or rent. 0rners Signature: E 00 00 00 00 40 40 20 36 RECEIVED BY:-ftilr z ge @ D lo,4 e a