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HomeMy WebLinkAboutPermit Electrical 1997-10-09CITY OF SPR"VGFIELD,OREGO'V SPlill IIELD EIE TRICAL PERI{IT APPLICATION225 FIFIE STREET SPRINGFIELD, OREGON 974]1 INSPECTION RE0UEST. 726-3769 0FPICE: 726'3759 City Job Nunber C, 1. LOCATION OF LEGAL DESCRIPTION JOB DBSCRIPTION Permits are non-transferable expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTAII,ATTON ONLY Electrical Contractor Son i trol Secur i ty Add ress P.O. Box 21 009 Ci ty Euqene Phone 461 -567 8 Supervisor License Number 'i 8o Rtf Expirat ion oare /D- / - 7Q Constr C ontr. Number 651 49 Exp iration Date 7-2OO0 Signature of Electrician Ovners Name Address e3 55 N /th Phone ?46-i9ll OIINER INSTALLATION COMPTETB FEE SCMDULE BELOIT New Residential-Single or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or Portionthereof $ 15.00 Each Manuf'd Home or -Modular Dwelling Service or Feeder $ 40.00 Services or Feeders Installation, Alterations or ReLocation: .,f -1 Sum B C. D 20 20 40 60 0v Re 0 amps or less 1 amps to 400 amps -1 amps to 600 amPs _ 1- amps to 1000 amPS- er 1000 amps/vo1ts connect Oniy $ s0.00 s 60.00 $100.00 $130.00 $300.00 s 40.00 Temporary Services or Feeders Insiallaiion, Alteration or Relocation 'Bu a6oTe Branch Circuits Nev, Alteration or Extension Per Pane1 One Circuit S 35.00 Each Additional Cireuit or vith Service or Feeder Permit $ 2.00 Miscellaneous (Service/feeder not included) 200 amps or less $ 201 amps to 400 amps - S over 4bL to 600 amps - $ Over 600 amps or l-000loFs se -Each installation Pump or irrigation $ Sign/Outline-Lighting - S t iili ted Energy/Res - I S Th e i n s t a 1 1 a t ltE.follqgvi r&rlrnEctrnedebrcritr:d hr "' th ": f ollGting ;; ; p ; ; ; ], - i - o"n y&F?P {E' FsY"ttiredder ran'r i : ; for sale, Iease ,r r::,:;Ll/__ Ormers Signature rlC - f i'' 00 00 00 40 55 BO e I 40.00 40.00 20.00 36.00 1^4rc SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL 2o"*crz) DATE: RECEIYED D a-a 3 A / citv 5:f r;rglield