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HomeMy WebLinkAboutPermit Electrical 1995-05-12CITY OF SPR OREGO'V 225 FTVIE STREET SPRTNGFIEI,D, OREGON INSPECTION REOTIEST: 0FFICE: 726-3759 97477 726-ilo6\ Authorized ThB folln,,;-- ^.1;r,4f ec sr rhmitted haS the lOlzoning approva,,.. ' specific land use EI,ECTRICAL PERHIT APPLICATION City Job Nunber Qgo3sq COIIPLSTE EEE SCEEDUI,E BELOS A New Residential-Single or Multi-Family per dvelling unit. Service Included:ftems Cost 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 $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: SPlr.-.GFlELtl 200 amps or less 201 amps to 400 amPS - 401- amps to 600 amPs - 601 amps to 1000 amps- Over 1000 amps/volts - Reconnect 0n1Y SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL 1. LOCATION OF TNSTALLATION4th65 DESCRIPTION Sum JOB Permits are non-transferable and expire if vork is not started vithin 1BO days of issuance or if vork is suspended for LBO days. 2. COMBACTOR INSTALI,ATTON ONLY B Electrical. Contractor Son i trol Secur i ty Address P.O.Box 21 009 Ci ty Eu ene Phone 46'l -5678 Supervisor License Number /n )LE Expiration Date /D - /-?a Cons t r Contr. Number 651 49 Exp i ra tion Date 6-28-96 Signature of Supervising Electrician Ovners Name Address lnz, Ci ty Pnone 74?- 33Cf OVNER INSTALLATION The installation is being made on property I ovn vhj.ch is not intended for saIe. lease or rent. Orrners Siglature: DATE: Temporary Services or Feeders fnsiallaiion, Alteration or Relocation s s0.00 $ 60.00 $100.00 $130.00 s3oo.0os 40.00 C 200 amps or less $ 20L amps to 400 amps - $ over 4bl. to 6oo amps - $ Over 600 amps or 1000Erts se a66ve 40. 00 55.00 80.00 e flBtr ,D Branch Circuits Nev, Alteration or Extension Per Panel one Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscell-aneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Out1ine Light ing- Limited Energy/Res _Limited Energy/Comm I w $ 40.00 $ 40.00 s 20.00 s 36.00 5 Sbob /,so r,og RECEIVED 3A 8k l^