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HomeMy WebLinkAboutPermit Electrical 1992-05-27C'TV OF OFEG S'D'IINGFIELT.) ;xi:S;s::y::: L5 ab 225 FIFTE STREEI SPRINGFIELD, ORBGON 97477 INSPBCTION REQI ESTz 726-37,69 oFPICE: 726-3759 .i.t , 1. LOCATION OF INSTALI"ATION ELBCTRICAL PERilIT APPLICATION Ci ty Job Number 4 zpl6D) COUPIATE PBE SCHEDULE BBLOV New Residential-Single or Hulti-Family per dwelling unit. Service Included: I tems ,Cos t L000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: , [:un , DESCRIPTION JOB DESCRTPTTON -in^$tnjtr chn.,Tlol{J 0 Permits are non-transferable and expirelf work is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. c0N13,ACf,0R TNSIALLATIoN oNLy Sumo B Electrical Contractor Address 0 f .\ 80onf,irn ,,,fto cit Phone '1+l - ALSL Supervisor cense Number tb86s Expiration Date l0 - I -9 7- Constr Contr. Number Mg+q Expiration Date q'l-qL' Signature of Supervislng Electrician Address Phone '146: a 319 200 amps or less I 20L amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y o $ s0.00 $ 60.00 s100.00 $130.00 $300.00 s 40.00 5o. oo c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see rrBrr above/a,^na{ n/d-- ovners Hare ,$rru fuO-6 cit OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, Iease or rent. Ovners Signature: RECBIPI *: ( ottaz d, -L7 -zi Z- D. Branch Circuits Nev, Alteration or Extension Per Pane1 one circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign,/Outline Light ing- Limited Energy/Res Limited Energy/Comm SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL 5o. oo A. {o $ 40.00 s 40.00 s 20.00 s 36.00 RECBIVED BY: 5 5e. 5c,