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HomeMy WebLinkAboutPermit Electrical 1994-11-15SPRINGFIELO Z:. :,''...),. .i.-.i; airi:$ ii3i fUqU iio upoc'iiiu ienC usE afr 225 FIFTE STREET SPRINGFTELD, OREGON 97 INSPECTfON REQUEST: 7 oFFICE: 726-3759 1. LOCATION OT CA !*?**"l-r3 t' ELECTRTCAL PEru{TT APPLTCATION A'"iitci li*s,: 'j 4vt7b<- JOB I Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspented for 180 days 2. CONTRACTOR INSTALLATION OT.ILY B. LEGALDESCRTPT.TON. / \ ___I:I ovj:Z Vz- ^o!t 4 O)_ Electricar contr ^.r.rkur.o/B ) #frfa o Address |fU W, llu,- rt'l, c; { {u r(Ci ty Job Nunber E. Miscellaneous (Service/feeder -Each installation Pump or irrigation $Sign/OutIine Lighting- S Limi ted Energy/Res - SLimited Energy/Comm ---f $ SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 3. COHPI,ETE FEE SCMDULE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modul-ar Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 Services or FeedersInstallation, Alterations or Relocation: 200 amps or less 20L amps to 400 amps -401 amps to 600 amps -60L amps to 1000 amps- Over 1000 amps/volts Reconnect 0n1y 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 - S 80.00 Over 600 amps or 1000 voTEs see rtBrr am D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circuit or vith Serviceor Feeder Permit g 2.00 ? PTI S r Ci ty pn"". bf 6- I I fl Supervisor License Number -71\ \ Expiration Drtu C. Constr Contr. Number Expiration Date s ture of rvising EIect an 00 00 00 00 00 00 50 60 100 130 300 40 $ $ $ $ $ s 0vners Name fu* sds-Jlwl%5 (.{v..S/- o Ci phone 1L(1 lofr OVNER INSTALLATION The installation is being made on property I ovn vhich is not intendedfor sale, Iease or rent.t 0vners Signature: DATE: 5 not included) 40.00 40.00 20.00 36.00 E b .oo RECEIVED Address