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HomeMy WebLinkAboutPermit Electrical 1994-12-05\- CITY OF SPR OFEGO'V Tho lollcwing protect t's submitted has'ttre fotlowing i"ir;!, diiiir6ei not require specilic land use L+fSPRTNGFIELD, oREGoN 97h77 !TPflINGT'ELE' BLBCTRICAL PERI{IT APPLICATTON City Job Nunber FBE SCBEDULE BELOS Nev Residential-Sing1e or Multi-Family per dvelling trnit. Service Included: I tems Cos t L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dwelllng Service or Feeder $ 8s.00 $ 15.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: INSPECTION REQUEST: OFPICE: 726-3759 7&, ;37J2tz-:2,?'f N I Aui:'l',;iz'j':j LOCATION OF INSTALI.J\TION S. 28th Street Well Field LEGAL DESCRI same ON JOB DESCRIPTION Installation of 2OOamp serv Permits are non-transferable and "*flr"if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COMRACTOR INSTALI.-ATION ONLY Erectricar contractor Terard rndustrial ffi Address 1919 Laura Street Ci ty Springfield Phone 747-8460 Supe rvisor License Number L677-S Expiration Date 10-1-95 Constr Contr. Number 63473 Exp iration Date L-26-95 Si ture of Supervising Electrician L 6hJ^s 0vners Name SUB Water Address 2O2 S. l8th Ci ty Springfield Phone 726-2396 DATE: RECEI C Temporary Services or Feeders InstalIation, Alteration or Relocation .00 .00 .00 0ver 600 amps or 1000 voITs see rrBrr aEm- D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tional Circuit or vith Service or Feeder Permi t 6 $ 2.00 12.OO E. Miscellaneous (Serviee/feeder not included) 200 amps or Less 20L amps to 400 amps -Over 401 to 600 amps l -Each installation Pump or irrigation Sign/OutIine Light ing- Limited Energy/Res Limited Energy/Comm A Sum B 200 amps or 201 amps to 40L amps to 60L amps to Over 1000 am Reconnect 0n ess 2 00 amps 000 amps_ s/voIts v $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 112.00 I 4 6 1 5.60 100.0o pI s40$ss $so $ $ $ $ 40. 40. 20 36. 00 00 00 00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL ----3r-C-.-ffi)c-__=:-=----- lZo' 't' REgEIVED B u V OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Signature: ara