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HomeMy WebLinkAboutPermit Electrical 1996-07-25C'TY OF SPF"VGFIELD, OBF.GO'V 1 225 PTYTE STREET approt/al. Zon TNSPECTTON REQIIEST z 72 'l6btr6*-laguSPRINGFIELDOREGON 974 OFFICE: 726-3759 ALrlnorized LOCATIONtl to OFN INSTALI,Al5 "L TION I.^EGAL DESCRIPTIQNt-oz-1s P3 D1o o JOB SCRIPTION 4 /?[scr Electrical Contracto +t, eddress 3 tL So S,r cirvSprtnTAe/d vhone 74 7 e)?v Supervisor License Number 373{s Expiration Date /r,t-- /' 9!' Constr Contr Number 77d Expiration Date /6 - / -?,/ Signa ture of SuPervising Electrician rs Name 51rr,I eddress /6 ?q N,E 'rh rso ^J RJ. Ci ty Br (vD zoning, and does not require apecific land uee A SPE. .iFIELD I tems L000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or ModuLar Dwelling Service or Feeder Services or Feeders , InstalIation, Alterations rTcor Relocation: 200 amps or less I 201 amPs to 400 amps - 401 amps to 600 amPs - 601 arnps to L000 amPs- 0ver l-000 amPs/vo1ts - Reconnect OnlY EIJCTRICAL City Job Nunber SCffiDI'IJ BBLOV Nev Residential-Single or MuIti-FamiIY Per dvelling unit' Service Included: Cos t $ 8s.oo $ 1s.00 s 40.00 00 00 00 00 00 $2 00 Sum Permits are non-transferable and expire ii vork is not started vithin 180 dafs ;i i;;;r""" ot if vork is susPended for 180 days. ?. COMRACTOR INSTALLATION ONLY 5) nl, B rl c D E 50 60 100 130 300 $ $ $ $ S $ 00 40 Temoorary Services or Feeders initaffuiion, Alteration or Relocation 200 amps or less $ 40'00 o;;. +br to 6oG ambs - $ Bo'oo 0ver 600 "rp" or-i6OO *Ttt see 'rB" aflE- Branch Circuits Nev, Alteration or Extension Per Panel one One Circuit Each Additional Circuit or vith Service or Feeder Permit - $ 3s.oo Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAT OIINER INSTALLATION The installation is being made on prop".tY I ovn vhich is not intended ior sale , l-ease or ren t ' Ovners Signature: $ 40.00 $ 40.00 $ 20.00 5 DATE: RECEIVED ,J I I )