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HomeMy WebLinkAboutPermit Electrical 1992-02-13OFEGO't' 225 FIFTE STREEf, SPRINGFIELD,OREGON 974 INSPECf,ION REQTIESTip OFPICE: 726-3759 1 LOCATION OF INSTALI,ATION ripo B. Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less / 201 amps to 400 amps _401 amps to 600 amps _ 601 amps to 1000 amps_ Over 1000 amps/volts Reconneet 0nly ELEETRICAL PERHIT APPLICATI City Job Nunber FEE SCEEDULE BELOII Nev Residential-Sing1e or HuIti-Family per dvelling unit. Service fncluded:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Address 2-io Nu'"'s'*c Ci t1-JC phone 6 8 7-i 3 6L Supervisor License Ntimber 3o.t / * Expiration Date /o - / - 7 z- Constr Contr. Number " 3 76 Z ExpirationDate I *6 7z- Signature of Supervisi Electrician a, 3 A//, LEGAL JOB DESCRT, $4a.,,4zG- PTION()-.u, Sum 6.G $ s0.00 s 60.00 $100.00 $130.00 $300.00 $ 40.00 gz s 2.oa I Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel s 3s.00 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 0ver 600 amps or 1000 volts see I'Brr aboveru-Z Ovners Name -6rce Tgzrt pLE Address 2 q V L Ci ty ,E /6 e7/3 Phone, 6tr6--/tlf OSNER INSTALI.ATION The installation is being made on property I ovn which is not intended for sale, lease or rent. 0vners Signature: DATE: c E Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/0utline Lighting_ S Limi ted Energy/Res _ $ Limited Energy/Comm S SIIBTOTAL OP ABOVB 5X State Surcharge TOTAL f,{ not included) 40.00 40. o0 20.00 e-a_ /o?-OgS-3.z-t U_- 4,ryD RECEIVED BY: 5 5te,-1 Electrical contrac ro, R, ns u,, Fte.:Wc One Circui t Each Addi tional Circuit or vith Service or Feeder Permi I Z-