HomeMy WebLinkAboutPermit Electrical 1998-10-01toltcN{ino
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SPFrINGF]ELC'
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ELECTRICAL PERHIT APPLICATION
the
225 FITTB STREET '
SPRINGFIEI,D, OREGON
INSPECTION REQITEST:
0FFICE: 726-3759
974
72 2LI L
1. LOCATION OFf t<z--r 74 s.r f rf&O
ON JCO
JOB DESCRIPTION
/,oc€ J Frz-ttz C€
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
h\OTIGE.2. CONTRACTOR INSTALTATI0N ONLY r,il,i i,Eiit.^B
Electrical Contractor .62 { €z-
Address 5t/,z z?y'zp
Ci ty '/22 phone ?2t e)o o 40L amps to
601 am
Supervisor License Number
Expiration Date o
Constr Contr.Number 2 Q 362c
Expi ra t ion Date ,/'-a 7 7 \f\o
Ci ty Job Number
COHPLETE FEE SCBEDIILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less s 85.00
Each additional 500
sq.ft or portion
$ r.s.00thereo f
Each Manuf'd Home or
Modular Dvelling
SerVice o r Feeder $ 40.00
\F THE WORK
o
te rations
FOR
D ORIS
3
A
Signature of Supervising Electrician
s to 400 am s 60.00
s100.00
s130. o0
$300.00
$ 40.00
o Iu\eg.
Er,-
ot Feeders
toe or Relocat
$ 40.00
0 amps $ ss.oo
\%to 600 amPs $ 80.00
r 600 amPs or 1000 -[orfs see 'rB*
Du
2.QO: amP
20L amp
ve
E
s or less s s0.00
Sum
ion
a6oE
="
D. Branch Circuits
Ovners Name Fa 7Ae h7
Nev, Alteration or Extension Per Panelv( t
Address yx2--r )'r' sr
ci rv 5/-F2- Phone
OVNER INSTALLATION
One Circuit
Each Additional
Circuit or vith Servrce
or Feeder Permit
--Each installation
pump or irrigation
-
Sign/Outline Lighting.-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Miscellaneous (Service/feeder not included)
?,y- r6-f5
s 3s.00
$ 2.00
5o'oo---27
The installation is being made on
DroDerty I ovn which is not intended
for' sale, lease or ren t '
Ovners Signature:
s 40.00
$ 40.00
$ 20.00
s 36.00
5
DATE:
RBCEIVED BY:
Joa'J-f
2/o/
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