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HomeMy WebLinkAboutPermit Electrical 1995-04-11H. CITY OF OREGO'V SPRIilGs.'ELCD 225 FTTTE STREET approval. Zon SPRINGFIELD OREGON 974 INSPECTION REQITEST: 72 0FFICE: 726-3759 1 OF I,EGAL DESCRIFTION JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 1B0 days. 2. CoNTRACT0R TNSTALLA:II0N ONI.Y Electrical Contractor Supervisor Licen se Number J 6oS Expiration Date -"{- Constr Contr. Number 42 c86oO Expiration Date -Z-a Tiie lollowing projecl as submltted has the following zoning, anci?becnot require specific land use l-*'-BTE TRICAL PERHIT APPLICATION SCEEDTII.E BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Modular Dvelling Sertice or Feeder $ 8s.00 € A Sum $ 1s.00 eaaress (ed L;t2^J citv* vhone 4*E 7i2 f $ 40.00 Services or Feeders InstalIation, Alterations or Rel-ocation: 200 amps or less -/-201 amps to 400 amPs _ 401 amps to 600 amps - 601 amps to 1"000 amPs- Over 1000 amps/vo1ts Reconnect OnlY Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less $ 40.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or 1000 voTTs see "B" above Nev, Alteration or Extension Per Panel B s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 { Ovners Name Address ,9 Ci ty Phone OVNER INSTAII.,ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: DATE: ture of rvlsl ng Electri ,/ r, ,(Tfl: T EZzt- c One Circuit $ 35'00 Each Additional Circuit or vith Servic€ , t s6or Feeder Permi t -J.- $ 2 ' 00 7' E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting- Limited Energy/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAT D $ 40.00 s 40.00 $ 20.00 $ 36.00 5 RECEIVED -> bN,*b", %A%= Autlorized