HomeMy WebLinkAboutPermit Electrical 1995-07-0501.'27,'S5 15:21 O50372a3885 r.)E\., SER kfloo:
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OREGON
SPFIIhICFTELO
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ELECTRTCAI PERHIT APPIJCATION
Ci ty Job Nunbe, 2
FEE SCEEDUIE EELOS
225 TTF'TB STREET
SPRTNGFIELD OREGON 97
INSPECfiON nrOtfgst: 7
OFFfCE: 726-3759
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1.LOCATION 0F INST LITIION
Nev Residenlial-Sing1e or
l,lu1t i -Family per dvelling uni t -
Service fncluded:i I tems Cos t
I
i
,IOOO so.ft. or less $ 85.00
eaen adaitional 500
i=e. ft or portion
ithereof $ 15-00
dach Hanuf'd Ilome or
-
t\)Y-1z\A.
T.BC,TT, DESCRTTTTONa
JOB DESCTIPfION
Sum
r Y\ Z-.Jt S3f IAICO
Permits are non-transferable and expire
if vork is not started uirhin 180 days
of issuance or if'vork is suspended for
180 days.
2... CONTzu1CTOR TNSTAILATION OI{LY
;
!
lervices or Feeders
Installation, A1 terations
dr Relocation:
I
!
doo arps or less
201 amps to 400 amps
(01 amps to 600 amps
-601 amos to 1000 amps
qver i,600 amps/volt;
-
Seeonnec r Otlly I
I
Iliemporary Services or Feede
trnstallation, Alteration or
I
i
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amDs
--over 500 amps or tbOOTofrs
{ranch Circuits
;
Qne Circuit
Each Additional
lCi rcui t or tri ch Servi ee
:or Feeder Persli t
B
Hodular Dvelling
Servi'ee or Feeder s 40.00
s 50.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00 't'
rs
Reloca t i on
.00..00 T-
.00
see rB, aEove-
er not included)
Electrical Contractor
Add ress
Ci ty Llrqs/M-Phone
l
D.
Superviso r License Number 2 3
Expiration Date /2^v,
Constr Conlr. Nvnber 2ar^/21 _
Expira tion. Da fe o
Signature of Supervising Electrician
tta
Ovners Name ) ,
\Address I tv
New, Alteration or Extension Per Pane1
$ 35.00
$ 2.00
$40
s55
$80
Phone
OIINER INSTALI.ATTON
The installation is being made on
property I oun vhich is not intendedfor sa1e, lease or rent.
0vners Signature:
DTTTE:
Miscellarreous (Service/feed
-lEach irrs rallation
Jtiump or lrrlgatlon
Sign/0utIine Lighting-
Lrirni ted Energy/Res
-Uimited Energy/Comm
=
E.
5l
$ 40.00
s 40.00
$ 20,00
$ 36.00
I
SUBTOTAL OF ABOVE
5i! State Surcharge, 3Z Adnrinis trative Pee
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