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HomeMy WebLinkAboutPermit Electrical 1997-03-17SPFII{GFTELD gl 477 ic,r,i,'..,.: .__-- -._ 72tu3769 ELE TRICAL PERHTT APPLICATION City Job Nuuber AiJtr r!', rruo 3r;ii:.1-u re.- *_---_3 -._-coupIJTE,.FEE scmDIIIJ BELoII1. LOCATTON OF TNSTALLATTON8rN 2 Eitt'a 225 FIFTH STREET SPRINGFIELD, OREGON TNSPECTION REOTIEST: OFFICE: 726-3759 g'ffilr\-o TqcO JOB DESCRTFTTON 3eP.*,tc-€ c C- Address \'tZ N ZC w?, city $Phone -tLtl -H"q I OIINER INSTALLATION The installation is being made on property f ovn which is not intended for saIe, lease or rent. Owners Signature: DATE: A. Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded: f tems Cos t L000 sq.ft. or less $ 85.00Each additional 500 IYff o $ 1s.00 $ 40.00 s s0.00 s 60.00 $ 100. 00 $130.00 $300.00 $ 40.00 @= Sum 2. cONTRAcrOR TNSTALLATTON 0NLY B. services or Feedersb- Zznc Installation, AlterationsElectri cal Contr actor Euoe+le LlezrelcSac, lNc or Relocation : Address , Zrr Ltnlrzi^re Sr City fiu6gdp ,6A Phone 3q4 -ZStot. cnqoz Supervisor License Number lOciZS Expiration Date lD.l qr cons tr contr. Number Q ozoo Expiration Date Signature of Supervising Electrician sq. ft or portion thereo f Each Manuf,d Home or - Modular Dvelling Service or Feeder 200 amps or less I 201 amps to 400 amps -40L amps to 600 amps -60L amps to L000 amps- Over 1000 amps/volts -Reconnect 0n1y Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspen-ded for 180 days. ovher's n^ .B*c*^t-+ l&a-nty c Temporary Services or Feeders fnstallation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel )_Le E Miscellaneous (Service/feeder not included) -Each installation 200 amps or less $ 40 201 amps to 400 amps - $ 55 0ver 401 to 600 amps - $ B0 Pump or irrigation S 40 Sign/0ut]ine Lighting- $ aO Limited Energy/Res $ 20 One Circuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit 3 $ 2.00 .00 .00 .00 ,f U*JA*bj Over 600 amps or 1000 voTTs see rrBrr aE6id 00 00 00 Limited Energy/Comm $ S0 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTALRECEIVED 5 00