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HomeMy WebLinkAboutPermit Electrical 2002-03-07225 FIFTTI STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUESTT 726-37 69 OFFICE: 726-3759 Zoning JOB i/4 Permits are non-transferable and if work is not started within 180 days of issuance or if work is suspcnded for 180 days. {c lrr,on" 1Ll l-2.2.3f,, Supervisor License Nurnber llxlS Expiration Date [0 D I lo3 :1 (/ Constr Contr. Number '' ) 6 ? ELECTRICAL PERMIT APPLICATION City Job Nu^W, D Z - OO I 7O 4 l 3. COMPLETE FEE SC}IEDULE BELOW dwelling unit. sq. ft or portion thereof Each Manufd IIonre or Modular Dwelling Service or Feeder 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over I000 anrps/volts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Relocation il#LAfrEr r",, OR IS D. Branch ANY 180DAY Circuiti PERIOD Items Cost Sum $ 106.00 $ 19.00 $ 50.00 $ 63.00 $ 75.00 s125,00 $ 163.00 $375.00 $ 50.00 $50.00 s69.00 $ 100.00 ,sNor S of Supervisin g Electrician Address The installation is being made on property I own which is not intended for sale, lease or rent. -oz "r<; or less ional 500 2. CONTRACTOR INSTALLATION ONLY B. Services or Feedersn )C Gl ,rnl^,. ^ --T- Installation,Alterationsor ErectricalcontractorL.,l ) (.lIL il l(,,J ltL *""#uiton, AddressP,c- gc,r \Lt8z (3 Expiration Date oilazI FOH Name L ,/zo z//L 9 > ( /=\ phone a?/ - 777 Each Addition al Circuit or with Service OWNER INSTALLATION New, Alteration or Extension Per Panel One Circuit $43 00_ $ 3.00 E. $s0.00 $50.00 $25.00 $45.00 Li Limited 5. SUBTOTNLOFABOVE 7Yo State Surcharge 8% Administrative Fee , Owncrs Signature: TOTAL --qf LOCATION OF INSTALLATIONqZA ZlfL_ tt ,/z- l. DESCRIPTION