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HomeMy WebLinkAboutPermit Electrical 1998-11-30CITY OF 225 FIF"IH STREET SPRINGFTELD, OREGoN 9 INSPECTION REQTJEST: OFPICE: 726-3759 1. LOCATION OF 2 Notificati in OAR 477, 1 \ t-s(,-tg 26- Authorizod 5I'FUAIGFIELO ELECTRICAL PERHIT APPLICATION Ci ty Job Nurnbe SCEEDTILE BELOS L i n". ior6vr;*, {oject ae subnl[cd haa t]ro bffcrrltrg,rc; an,J does not requlre epoclllc 6A u;-"-",.)!.il. '5 A B C D. Nev Residential-Single or Multi-FamilY Per dvelling Service Included: I tems Services or Feeders InstalIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amps - 601 amps to 1000 amPs- Over 1000 amPs/vo1ts - Reconnect 0n1Y Cost Sum -tt9" a5ove $2 00 unit. qd[nfl fP qe€%JNqedhsf elef$tppeand exp i re "4,8ffi tw ths qrcsqsMEttu$tojtiffitiantso aays "i igerUnaie 1o&0Q€3?&LaAis suspended f or 180 days. 2. CONTRACTOR INSTALI..ATION ONLY [,l0Tl0E: il:fl.qssFF}8l*4iilry*FRR"!qnrFltuil2FNirt6rn rHIs PEHMIT ls Nor i fr erge$, r r,,,:; r' i: o R I s Al] /eI$CrNi E t#6f, ' 00 Eacli l'lanuf 'd Horne' or-lrodular Dveltirifi'-'' Service or Feeder $ 40'00 to les are set forth h Electrical Contracto r l.r+, ( 6 Address i) I-9 f)o trl A'(lak () i 1,,-fIr,$ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 Ci ty Phone - Supervi.sor License Number -1d'L ' 1 Exp iration Date /cr,a/TemporarY Services or Feeders inst"t:.aiion, Alterapion or Relocation/22 4a 7Constr Con tr. Number 6 Expiration Date 't 200 amps"or less f q 19'00ioi "ri" to 400 amps --T- $ :?'oo over 4b1 to 600 amps - I $ 80'00 Over 600 amps ot- i00O-voTEs see I'8" Branch Circuits Signature of Supervising Electrician u 5G 0vner ame Addres F. Ci Phone OSNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: Nev, Alteration or Extension Per Pane1 One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 3s.00 E. Misce]laneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Lighting- Limited Energy/Res - Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL $ 40.00 s 40.00 s 20.00 s 36.00 5 RECEIVED B 0) ,on,nn*tNR--- /a