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HomeMy WebLinkAboutPermit Electrical 1993-09-21CITY OF SPRINGFIELD, OREGO'V 225 PTFfH. SIT,EBT SPRTNGFTBIJ, OREGON 97477 INSPECTION REOUBST: 726-3769 oPFICE: 726-3759 1. LOCATTON OP INSTALI.ATION Ure L,U frlc,,rm b*E, Lic.e qs os4aSPIII]{GFIELEl BIACTRICAL PERHIT APPLICATION City Job Nunber 3. COHPLETE FEB SCffiDI'LE BELOS A. Nev Residential-Single or Multi-FamiIy per dwelling unit. . t"t""e rncruded: rtems cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular DweIIing Service or Feeder s 8s.00 $ 1s.00 $ 40.00 Services or Feeders InstalIation, Alterations or Relocation: Prrtvdt I,BGAf, tn 03aq1+ q7q7 bn4 h6 Sum JOB DESCRIPTION A\nv "* Irr: st ( ( ,c--l-) or-l Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if work is suspended for 180 days. 2. CO}IIRACTOR INSTALI.ATION ONLY B. Electrical Contractor Antt.r i teg.V. SeCu n r\y€q et: L.^ - Address {!9 6r,+rFiet4 Ci ty ptrone 393-lS5 o Supervisor License Number tebeJ LE Exp iration Date c. 200 amps or less 201 amps to 400 amps 401 amps to 600 amps -601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect Only $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number Expiration Date of ising Blectrician Ovners , tiAddress \tQO L-{ "'a',,^oir-. ci -T Phone OSNER INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: DATE:Jr Temporary Services or Feeders Installation, Alteration or Relocation' i,i- D. Branch Circuits Nev, Alteration or Extension Per Pane} One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permit $ 2.00 200 amps or less $ 201 amps to 400 amps - $ over 401 to 600 amps - $ 0ver 600 amps or 1000-T6Tfs s Miscellaneous ( Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- S Limited Energy/Res tz $ Limited Energy/Comm $ SUBTOTAL OF ABOVE 5Z State Surcharge TOTAL 40.00 55.00 80.00 ee trB" a5ovf not included) 40.00 40.00 20.00 2D. ADl-"oo E rl RECEIVBD t- 73 5 #)-l - oo