HomeMy WebLinkAboutPermit Electrical 1996-02-06.1.,r,rn0, AOd
apProval.
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SPflI,{GFIELO
EIJCTRTCAL PERHIT APPLICATION225 YTFI'E STREE:I
SPRINGPTELD, OREGoN 97477
INSPBCf,f0N R80tBST3 726
OPPICB: 726-3759
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1 OP
IJGAL ON
JOB DISCRIPTION
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pernits are non-,I"n"r"r"u)" and expire
if vork is not started vithln 180 days
of lssuance or lf vork is suspended for
180 days
!
2. COI|TRA TOR INSTAII.ATION ONI,Y
ElecLrlcal Contractor RoSE C0RP
Address 99976 DAy LANE
Ci ty ' FllGFI,iF Phone 6R6-nqo6
Supervisor Llcense Number 15685
Explration Date t0/t/e?
. !:
Constr Contr. Number 544Ji:'
Exp i'ration Date 9/30/qh
Slgnature lsing Blectrician
o
Ovners
Address
200 amps or less I
201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps
0ver 1000 amps/volts
-Reconnect 0nIy
C. Temporary Services or'Feeders
Installation, Alteratlon or Relocation
200 amps or less S 40.00
Over 401 to 600 amps $ 80.00
0ver 600 amps or 1000 voT[s see uB" affi
-Each installation
Pump or irrigation
Sign/0utline Light ing-
Lirni ted Energy/Res
-Llmi ted Energy/Comm
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui! S 35.00
Each Atdi t ional
Circuit or uith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
Nunber
IJTE PEE SCEEDTILE BELOV
Nev Resldentlal-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
s 40.00
Services or FeedersInstallation, Alterations
or Relocation:
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
3
A
B
Sum
s s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
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Ci ty Phone -tftrqICO
The. installatioir is beirig made on
property I ovn vhlch is not intendedfor sale, Iease or rent.
osners Slgnature:
DATE:
s 40.00
$ 40.00
s 20.00
s 36.00
5
RECEIVED B
00