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HomeMy WebLinkAboutPermit Electrical 1993-10-14C'TY OF OREGO't' SPR!NGFIELO X, p:'$joct aa) sullm,tt€rd ha!: \,,:,! ;t .,: I c;i I j ;c np*.,ti, i"l.rT I3[Wry 225 TITTE STREET SPRTNGFTELD, ORBGoN 97477 INSPBCf,ION REQI.IEST: OFFICE: 726-3759 1.OF INSTALI,ATION 2 ( -zl- 7l$v3769 1c1,-.'-,.-__.--I'_ _l Lqz | 3-Al-U)City Job Nunber A"lhoiired Si3naturtir 3. COHPLETB PBE SCEEDTILB BELOS ELECTRICAL PERHIT APPLICATION Nev Residential-Single or Multi-FarniIy per dvelling uni t. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder s 8s.00 $ 1s.00 s 40.00 Services or Feeders InstaIlation, Alterations or Relocation: 2. COTiITRACTOR INSTALI.ATION ONLY Electrical Con tractot^fV* t-€z<ftR. ' , Address * L I 3 9 ---9a"ulot Ci ty Phone 7b Supervisor Licens e Number g/"7-0 Expirat ion oate /0 - f -7,f Constr Contr. Number ol 9.fo Expiration Date Signature of Supervising Electrician 0wners Name Address ci ty-Phone OSNER INSTALI,ATION The installation is being made on property I own vhich is not intended for sa1e, lease or rent. ()cners SigBature: DATB: ionirp _ "LEGAL DESCRIPTION JOB DESCRIPTION 9,.@t onif of *Sdhlrc 180 days. A B C Sum 40.00 55.00 80.00 ee ItBrr aEove /"a 1B0 days for 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly 200 amps or less 201 amps to 400 amps -0ver 401 to 600 amps Over 600 amps or 1000 voTts Temporary Services or Feeders InstaIlation, Alteration or Relocation s s0.00 s 60.00 s100.00 $130.00 s300.00 $ 40.00 $ $ s s D. Branch Circui ts Nev, Alteration or Extension Per Panel 'ne Ci rcui t ,/-- S 35 .00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 sign/outline Lighting- S 40.00 Liilited Energy/Res -- $ 20.00 -fi.'" B 5 RECEIVED dra