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HomeMy WebLinkAboutPermit Electrical 1997-10-16ox"b4l+i7 SPRINGFTELD, oREGoN 97 477 INSPECTION REQI ESTz 726-3769 OFFICE: 726-3759 1. LOCATTON OF IJGAL DESCRTPTION7-t JOB Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI-ATTON ONLY Electrical Contractor Address ci Phone 7'll Oq 5 1 Supervisor License Number 3-'1q S Expiration Date to 2_. Constr Contr. Number o Expiration Date Signa of Electrician Ovners Name Address sPT .iFTELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Hodular 'Dvelling' Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: one Circuit I Each Additional Circuit or vith Service or Feeder Permit 200 amps or less 2O1 amps to 400 amPs - 401 amps to.600 amps - 601 amfs to 1000 amps Over 1000 amps/voIts Reconnect Oniy Temporary Services or Feeders Installation, Alteration or ReLocation t1uningIveder ed p ud -FamiIyce IncI 1 Servi tMuIs 1 I Cos temst7 Sum $ 40.00 40.00 55. OO 80.00 ee nBil a566 $ 8s.00 .B C 00 00 00 00 00 00 s s0. S 60. 40s $100 $130 s300 c 200 amps"or less S 201 amis to 400 amps - $ over 401 to 6oo amps - $ Over 600 amPs or 1000 volts s D. Branch Circuits 'C trx/i NLv, Alteration or Extension Per Panel $ 3s.oo 7ED Ci ty Phone OVNER The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. OvnersiL$ignature: DATE: $ 2.00 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 TOTAL s 40.00 s 40.00 s 20.00 s 36.00 5 RECETVED _ q1 o'() a a Ci ty Job Nunber COHPI,ETB FEE SCEEDT'I.E BELOV $ 1s.00 ELECTRICAL PERHIT APPLICATION IS 5 5rt4