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HomeMy WebLinkAboutPermit Electrical 1997-02-25225 FIFTE STREET S-PIINGFTELD, OREGON 97 477INSPECf,ION REQUEoFPrcE: 726_37s;rz 726-3169 ;,rr,',a",1---V).(L-w3:l- tiroriied signature l.l IY\- \II.'GFIEL.o EI.^ECTRICAL PERHIT APPLICATION City Job Number ltoso I 1 roN 0.F TNSTATLA TION JOB A Pe rml ts are non_tr ferable and exifvorkrs not starte d vi thin 180 dof issu ance or if vor k is suspende d180 day s. 2. CONIRACTOR TNSTALI,ATTON ONLY Elec tri ca1 Con trac tor Address Ci ty Phone Supervisor License Number Expiration Date Constr Contr. Number \ro Expiration Date q Signatgre of Supe rvising Electrician .-4 0vners Na ( Address cit Phone INSTALLATION DATE: 3. COHPLETE FEE SCMDULE BELOV A. I'lev Residential_Single orMulti-Famifv no. .1,,i.,-.r-.. ]lServi.. rn.irjer. dvelling uni t ' f tems 1000 sq.ft. or lessuach additional 500sq. ft or portionthereof Each Manuf,d Home. or - Hodular DvellingSertice or Feeder \Cos t s 8s.00 's 15.00 s 40.00 Sum pi re ays for Services or Feeders Seel i:";:ii:j I r; -ai i" i. t i on. ?99 amps or less Izut amps to 400 "rps + 401 amps ro 600 ;;; -- 601 amps to 1000;i"_Over i,000 amps/voIReconnec t O.,iy s)s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 The instaflation. is being made onproperry r ovn vhich i.;";";;tenaeafor saLe, lease or rent. Ovners Signature: - T_"rpolary Services or Feederstns tallation, aI teraiion--Ji.n"rocation 200 amps',or ]ess 6201 amps ;; ;;6'"rps --- 3 13:33over 401 to 600 ;1ry __ i ,0.0,over 600 amps or fbOO-roft" juu ,,8,, a66iE_ Branch Circuits Nevr Alteration or Extension per panel One Circui tE""h -;;i;iion"t s 35-oo Ci rcu i t or vi th Serv i eoor Feeder Permi t -a S 2.00 4_ l;:f i;:::ii,Ii..;"rce/reeder nor included) . IyT!.:. irrigatii;. s 40.00s rgn,/Ou t I i ne Li r C D E 5 RECEIITED B S"UBTOTAL OF ABOVEjf :l.te. Surcharge -_rz"_Aollf nlS tra tive FeeTOTAL. ff,^ ,