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HomeMy WebLinkAboutPermit Electrical 1997-04-16ct TY OF SPB"VGFIELD, OREGO'V SPRIt\.GF!ELD Th za ai CATION225 FIFTE STREBT SPRTNGFTELD, oRBGoN 97477 INSPECTT0N REOIESTz 726-3769 OFFICE: 726-3759 *CC,531 3 BELOU Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: Items 1. LOCATION. OF TNSTALLATIONrJ,4 ilt4W-* Signature of Supervising Electricianruk++ A. Cos t $ 8s.00 $ 1s.00 s 40.00 $ s0.00 s 60.00 $100.00 $130. 00 s300. 00 s 40.00 e trBtt a -d_ E,ove Sum 2. COI{TRACT0R INSTALLATION 0NLY B. Services or Feedersb- ?,zac Insta11ation, Alterations E lec t r i ca 1 Con t rac t o r Euce*te EcerztCSVc_, IUC or Reloca t i on : JOB DESCRIPTION Aoo E*r+-,&p6+-^,n Ct t3 Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for 180 days. Address t?^ ttnt\oa(= City 616E4s,61,2_ Phone $4ul-Z4;ul, *tLtOz Supervisor License Number IO4ZS Expiration Date /D. /.Qf constr contr. Number Qnzoo Expiration Date A ,)a,eb L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular Dvelling Service or Feeder 200 amps or less + 201. amps to 400 amps -40L amps to 600 amps 60L amps to L000 amps- over 1000 amps/volts -Reconnect 0nly C. Temporary Services or FeedersInstallation, Alteration or Relocarion 200 amps or less $ 201 amps to 400 amps - $ 0ver 401 to 600 amps - S Over 600 amps or 1000-ftTfs se 40.00 55.00 80.00 v Ci ty Ettr,rilE phone 3q3-Q'35tn OIJNER INSTALLATTON The installation is being made on property f ovn uhich is not intendedfor saIe, lease or rent. Ovners Signature: DATE: RECEI D. Branch Circuits -Each installation Pump or irrigation $Sign/Outline Lighting- $Limited Energy/Res - $Limited Energy/Comm S 5. SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Nev, Alteration or Extension Per Pane] One Circuit / $ 35.00 4"-Each Additional Circuit or vith Service. or Feeder Permi ,"" "'V I s 2. oo F-? * Miscellaneous (Service/feeder not included) Ovher's Name Address 4f< A **o \rftf2 - E 40.00 40.00 20.00 36.00 RECEIVED B aO '.qb l-l'l;-qt+ EI.ECTRICAL PERI{IT Ci ty Job Nunber