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HomeMy WebLinkAboutPermit Electrical 1993-02-03Y OF SPF"UGFIELD, OBEGO'U 225 FTFTE STREEf, SPRTNGFTELJ, oREGoN 97477 INSPECTION REQUESTz 726-3769 OFPICE: 726-3759 1 PERHTT APPLICATION City Job Number q \A# ^(nTa-1-?3 t- fiS Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI.ATION OM,Y Electrical Contract Address q Ci ty ruLPhone t t 3 COHPLETB PEE SCEEDUIJ BELOV Nev Residential-Single or HuIti-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y c. D. Branch Circuits Nev, Alteration or Extension Per Panel onecircuit I S35.oo Each Additional Circuit or vith Service, or Feeder permit I $ 2.00 \ffLWfiU*c8r Sum ffi *'n 38A $ so.oo $ 50.00 $100.00 $130.00 $300.00 $ 40.00 Supervisor cense Ndmber Expiration Date \0 \ Constr Contr. Number E\ Expiration Date 5 si ture Electrician rs Name Address Ci ty Phone OIINER The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Onners Signature: DATE: Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 0ver 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see "B'r above 3*0,\1,q 35 E. Hiseellaneous (Service/feeder not included) -Each installation Ptrmp or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm S1ETOTAL OP ABOVB 5Z State Surcharge TOTAL s s s $ 40. 40. 20. 36. 00 00 00 00 RECEIVED 5 M 4