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HomeMy WebLinkAboutPermit Electrical 2002-05-30225F-BTH STREET SPRINGFIELD, OREGON 9"1477 INSPECTION REQIIEST: 7 26 -37 69 OFFICE: 726-3759 & ELEC- IPERMTAPPLICATION city Job Nr*bo OZ -o o6z7d I 6 :::J:T#:,-EBELOW ,K Multi-Farrdty per dwe[iqg udt Se,rvice lncluded: Items Cost Sum .: $106.00 - $ 19.00 $ so.oo _ B. Services or Feeders Installation, Alterations or Relocation: I.rc J. A LEGAL DESCRIPTION i7c:S z zce oo90z ewl Permits are non-Eansferable and expire if work is not started withitr 180 days ofissuance or ifwork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY 1000 sq.ft or less Each additioual 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder 200 amps or less 201 amps to 400 arps 401 amps to 600 amps 601 zmrs to 1000 amps Over 1000 ampsfuolts Reconnect Only \t Electrical -0 Supervisor License Expiration 02- Constr Contr. Expiration Signature of Supervising Elec'trician , 9u aou-prcn"lb[-5b1 YT g Nurnber lb$q-gET C. Temporary D amps amps or 1000 volts see s 63.00 _ $ 75.00 _ $125.00 _ $163.00 _ $37s.00 _ $ so.oo _ $so.oo _ $69.00 $100.00 L-- Owners Name o o t r \4'.7 4rza 00 s $ 3.00 _OWNER INSTALLATION The installation is behg made on property I own which is not intended forsale, leaseorrent Owners Signatue:Limited Enerry/Res Limited Energy/Comm $50.00 $50.00 s2s.00.....- - , s45.00 Y > E.included) \$ Minimum Electric Pemit Inspection Fee is S45.00 + Surcharges 5. SUBTOTALOFABOVE 7Yo State Surcharge 8% Administrative Fee Lti 3lfv6t TOTAL etf corr*oo, Sontt o{ 9dl Branch Circuits New Alteration One JOB ni-i ! \i-'lTt ir-runru - uJit ,uvu f ill,,tt{ti'-l , ' Ti-' *. ? ! aril"ii Ia, i-5 j& L,'Ud:fl