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HomeMy WebLinkAboutPermit Electrical 1995-12-26C'TY OF LO 225 EIFTE sltsEEf, r Dd' , \Z- '>b - Q) SPRINGEIEID, oREGoN 97 477 ^,.h^,i"#tINSPEcf,IoN REQI Esf, z 726-5169*-- OPEICE: 726-3759 1. IOCATIoN 0P INSTIILII\TroN IJGIIL DESCKTPTIOT \J SPF'I'IGFIELO oes not roquiro .'. EI.EGIRICI\L PERIIIT City Job Nunber COHPLif,E EE SCBEDI'IJE BELOU A.Nev Residential-Sing1e or Hu}ti-Pamily per d"Eiiine unit. ; Service Inc].uded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Dach Hanuf'd Home. or HoduIar.'Dve).Iing Service or Peeder $ 85.00 $ 40.00 .8. Services or Feeders Installation, Alterations c 00 r. ':I :: apilrov Electrical Contracto rDarafec Cornnu uicariari or Relocat ion : JOB L A'Ftt ON Permits Are non-t.ransferable and expire lf vork is not started vithin'180 days of issuance or ''if vork is suspended for 180 days. 2. CO}TTRACTOR INSTALIJTTION ONLI city /li,lsboep phtone(soll 6?3-6311 Supervisor License Number zLOb SLE Explration Date Constr Contr. Number g6 Expiration Date Signature of SuPervising Electri an H Ovners Name I e Address 52-S l .-l I Srtrrr Ci ty Jpn;ngrirlzl phone ?Z L.3L L<l 200 amps or less 20L amps to 400 amps - 401 amps to.600 amps - 601 amfs to'1000 amps- over 1000 amps/vo1ts Temporary Services or Feeders Installalion, Alteration or Relocation Sum ee 40 55 80 ,affi $ s ST $r 50 60 00 30 00 00 00 00 00 00 .00 .00 .rgr, s300 $40 200 amps"or less S 201 amps to 400 amps - $ over 4b1 to 600 amps - $ Over 600 amps or 1000 volts s Branch Circui tsD 5€u The installation is being made on property I ovn vhiih is not intended for saLe, Iease or rent. 0mers Signature: Nev, Alteration or Extension Per Pane1 One Circuit S 35.00 Eaclr Additional ; ,7Circuit or vith Service or Feeder Permit - $ 2'00 I':' Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/OutIine Lighting- Limi ted EnergY/Res - Limi ted EnergY/Comm I 3b00 SUBTOTAL OF ABOVB 52 State Surcharge 32 Administrative Fee TOTAL 7b .oo,ao E. s ro.oo s 40.00 $ 20.00 s 36.00 5 DATE: DRECEIVED OREGO'U l, t4.?9.1 Ll I 3. $ 1s.00 Address /?OO NF ?6 rH Averld6 ,, OVNER INSTALII\TION