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HomeMy WebLinkAboutPermit Electrical 2002-03-11LEG ON The following project as submitted haszoning, and aPPr@lO J"tr require specific Zoning JOB DE A4rL t*+rl@; - /r5hI SCRIPTION Da uumOnZEoSrgrr e Permits are non-transferable and expire if work is not started within i80 days of issuance of if work is suspended for 180 days. ::. - 2. CONTRACTOR INSTALLATION ONLY 225 FIFTH STREET SPzuNGFIELD, OREGON 97{77 TNSPECTION REQUEST'. -t 26 -31 69 Electrical Contractor Address 'ltone Supervisor License Nulnber -07 l0 sq,or less I 500 ELI- Citv Job eor Cost $ 106.00 $ 19.00 t,l, n\,1 1i I\ :$s'ad €lci B. Senices or Feeders Relocittion 200 amps or less 201 amps to 400 thereof Each Manufd Home or Modular Drvelling Service or Feeder 401 amps to Over 600 "B" above amps or & o -i -ov sb& O\YNER INSTALLATION The installation is being nrade on propert]" I olvn rvhich is not intendcd lor srle. lease or rent. D. Branch C Nev One -26oJ Each or Feeder I ServiceJ- $:.oo E. Nliscellaneous (Service/feeder not included) -Each instellation Punrp or irrigation Sign/Outline Lighting Linrited EnergviRes Linited EnergvlComm {. SUBTOTALOFABOVE 7%o State Surcharge 87o Administrative Fee $50.00 $50.00 $2s.00 $15.00 I\Iinimum Electric Permit Inspection Fce is S{5.00 * Surch:rrges 41 TOTAL 56* OFFICE: 726-3i59 3. CO}PLETE FEE SCFIEDI,LE BELO\\' 1. LOCATION OF INSTALLATION t 8e. z rle,*G Arl€ Sum Expiration Constr Contr. Numb..f J=/-(l.$-- Expiration out" //'- /O *QZ , Signuture of Supervising Electrician .\ Orvners Name e- 8t"t.: aoorcs.s /8 6 2 Pe^., l[ 601 amps Orrer or Fceders or Relocation or less r, to 400 amps to 600 arnps 00i|/3 amps Over 401 Oryners Signature: