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HomeMy WebLinkAboutPermit Electrical 1997-01-03C'TY OF OREGO'U SPRTNGFIELO % 225 FIYTE STREET . JOB DESCRIPTION LV. R[a".n ]rs+vrn Permits are non-transferable and expireif vork is not started vithin 180 days of lssuance or if vork is suspended for 180 days. 2. CO}ITRAC;TOR INSTALI,ATION ONLY ELECTRTCAL PERHIT APPLICATION Ci ty Job Nunber 3. COI{PLETE PEE SCMDULE BELOV tial-Single or HuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft cr portion t hereo f Each Hanuf'd Home or -Hodular DweIIing Service or Feeder s 8s.00 s ls.00 s 40.00 B. Electrical Contractor Address Bo51 6Ll') Ci ty Supervisor License N' Constr Contr. Number (;rr,'$ pnon" lo4l- OlgLe umber 5q eJL? Services or Feeders InstaIIation, Alterations or Relocation: ST'BTOTAL OP ABOVB 5tr State Surcharge TOTAL 200 amps or less 201 amps to 400 amps --401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/voIts -Reconnect 0nly -Each installation' Pump or irrigation $Sign/Outline Lighting- S Limi ted Energy/Res -i- SLimited Energy/Comm $ YL h1 s s0.00 s 60.00 s100.00 $ 130. 00 s300. 00 $ 40.00 $ .2.00 Sum Sove Expirat'ion Date [O-l-q5 ,, c Temporary Services or Feeders Installatlon, Alteratlon or Relocation Expiration Date ll-01-q'l 200 amps or less $ 40. 201 amps to 400 amps - $ 55. 0ver 401 to 600 amps - $ 80. 0ver 600 amps or 1000 voITs see " Signature of Supervising Electrician John fui*r"r.nn D. Branch Circuits Address Ur€,* Drrrf<-,Nev, Alteration or Extension Per Panel cir ,{e pno"" '14'l-414'l One Circul t Each Addi tional Circuit or vith Service or Feeder Permi t s 3s.00 OVNER ALI.,ATION 00 00 00 Brr a5 Owners Name The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. Ovners Signature: DATB: B. Hiscellaneous (Service/feeder not included) 4 4 2 3 0.00 0.00 0.00 6.00 MO o "oo RBCEIVED 5 SPRTNGPIELD, oREGON 97477. . INSPECTI0N REQTEST: 726-3769 0PFICE: 726-3759 1 OP \3