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HomeMy WebLinkAboutPermit Electrical 1998-10-01toltcN{ino u8a SPFrINGF]ELC' l 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/ 4