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HomeMy WebLinkAboutPermit Electrical 1992-03-18st'n1N(;FtI:LO 225 FIFTE STREET SPRINGFTELD, oREGoN 97477 INSPBCTI0N RBQUBST. 726-3769 OPFTCE: 726-3759 1 [ks Auhodzed as has STIBTOTAL OF ABOVB 5Z State Surcharge TOTAL the m PERHIT APPLICATION ty Job Nunber q BEE SCBEDULE BELOS OF INSTATI,ATIOH Ifittfltr qu - Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Addres \iil rl 't\QI A. Nev Residenti Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost B. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps -401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 over 4b1 to 6oo amps - $ 8o.oo , Over 600 amPs or 1000 volts see rBtr above Branch Circuits Nev, Alteration or Extension Per Panel one Ci.rcuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit - $ 2.00 -Miscellaneous (Service/feeder not included) tl Sum Electricar contractorl. W. btBngW,It0C +11 ru$ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 Ci ty Supe Phone I +1 bG3 I rvisor License Number 3Aqq5 Expiration Date r0 2" Constr Contr. Number b Expi ration Date ta-l ,qA Signature of Supervising Electrician Owners Name fttC" Address 5D 3o Ci ty 5 ,n""ilAb ,qt\ OVNER INSTALTATION The installation is being made on property I own vhich is not intended for saIe, Iease or rent. 0vners Signature: DATE: RECBIPT -Each installation Pump or irrigation $ Sign/OutIine Lighting-- q Limited EnergY/Res $ D c. E 40.00 40.00 20.00 36.00 5 C'TY OFSPR RECEIVBD BY: 50.CO The '0tsf,Y