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HomeMy WebLinkAboutPermit Electrical 1994-07-13SP, TilGFtELD 225 FIFTE STREET sPRrNcFrELD, oREGoN 97477 The lollorulng prolec.t zoning, and does nol INSPECTION REOI EST z 726-37690PFICE: 726-3759 Dare .l 1 LocATroN oF rlrsrAr,lATrtl$otE"d JOB DESCRIPTTON Se itnt:lT ltr 4)r.P/rx- Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for L80 days. 2. COMRACTOR INSTALTATION ONLY Electrical Contractor Addres s PERUTT Job Number COHPLETE FBE SCEEDTIIJ BETOTI A. Nev Residential_-Single orUul-ti-Family per dvelling unit. Service fncluded: ftems Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home or - Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or Relocation: as cuUmlilad hE thc require epociflo hnd 6o 200 amps or less 201 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/volts Reconnect 0n1y u6€ approval. Sum $ s0.00 s 60.00 s 100. 00 $130.00 s300.00 s 40.00 citv% Supervisor License N P umber Expiration Date Constr Contr . ttun,er B/o Af 7 Expiration Date Signature of Supervising Electrician Ovners Name C D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Pernit - $ 2.00 Miscellaneous (Service/feeder not included) Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less / $ 19.99 4J: 20L amps to 400 amps - $ 55.00 Over 600 amps or 1000 vorts see rrB, above -Each installation Pump or irrigation $ Sign/Outline Lightitg- $ Liilited Energy/Res - $ Address Ci ty Phone OIiNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, J-ease or rent. Ovners Signature: DATE: SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL E 5 40.00 40.00 20.00 36.00 RECEIVED 3?o tt/-Lh4"/ -/