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HomeMy WebLinkAboutPermit Electrical 1994-06-07OFEG O'UTY OF 225 YLYIB STREET irnrxcrrglD, oREGoN 97471 nrCrscrrou nroussf, z 726-3769 OFETCE: 726-3759 SPfiINGFIELO BI..ECTRICAL PERHIT APPLICATION City Job Number 1 I^OCATION OP DESCRIPTIOII Pernlts are non-transferable and lf vork ls not started vlthln 180 d 'of lssuance or lf vork ls susPended for '180 days. Address ci Phone 7(7 ^c87 COHPI,ETE TEE SCEEDUIA BELOU Nev Resldentlal-Single or Hultl-FamtIY Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less $ 85'00 Each additional 500 sq. ft or portlon thereof $ 15'oo 3. A Sum Each l{anuf'd llome or Modular Dvelling Servlce or Feeder 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Supervisor Llcense Number ExP iration Date rti-./L Constr Contr. Number 7 7c;5- Expi tatlon Date 1C ..'r''( $ 40.00 2. coNrnActoR INSIALLATIoN oNLY B' ff:Uii:.i;.:Ti;:iationsr5Electrlcal ContracorJAt( i)r&cl/fun{i /v: or Relocation: s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 -#cra srS 1-- 5 Slgrrature of Supervlslng Electrician ':).r',r /< dn,,. /'{ 200 amps or less 201 amps to !00 amps -Over 401 to 600 amps over 600 amps or tbOOT6fts Branch Circuits c 5. SUBTOTAL OP-ABOVB 5Z'State Surchhrge I0rAt Temporary Services or'Feeders Installation, Alteration or Relocation 40 55 80 $ $ $ see It 00 00 00 Bn affi ! Ovner s New, Alteratlon or Extension Per Panel Address c1 OSNER 0trners Slgnature3 Phone -'/One Clrcult Each Additional Circuit or vith Service or Feeder Permit ' z $ 35.00 $ 2.oo /-- The. lnstallatloir ls belrig uade onproperty.f om yhich ls not intendedfor iale, 'lease of rent. B. Hlscellaneous (Servlce/feeder not included) -Each lnstallation Puinp or lrrigatlon Slgn/Outltnb Lighttng- L-lrnited Energy/Res Llmlted Energy/Comm : l. $ 40.00 $ 40.00 s ,20.00 $ 36.00 f/.Glat DATE: RECEIVED +306 Admin Fl<_ 2.>f,.P IJGAT DESCRIPTION'?9?-,2/'?2*4ZOd!