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HomeMy WebLinkAboutPermit Electrical 1997-01-07$ l.ind use $ 8s.00 s 1s.00 s 40.00 36.00. 1.80 1.08 38,88 225 FTYT:E STREEf, SPRINGFIELD, OREGON 97477, . INSPBCf,TON REQUESIS 726-3769 OFEICE: 726-3759 BI,ECTRTCEL PERHIT APPIJCATTON City Job Nunber Nev Residential-Single or MuIti-Family per dvelling unit. ervice fncluded:Items Cost tl-hl 1. IOCATTON OP INSIAI,IATTON ict S s. irl{\ g .A 1 D 33US a- Llrud Sum Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALIIITTON ONLY Electrical Contractor@ms Address I501 pearl Srr t, Suite B Ci ty Euqene.OR Phone_E!:3-42_.L1[3 Supervisor License Number . Qqg .llr Expiration Date tOlOl t9(1 constr contr. Nrmb"r sgg44 Expi.-ation Date oL/?9 197 Signature of sing Electrician 0vners Name Address ci,Y50eLrf,-,ell- Phone'lqL-2ri?orl***on 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling SerVice or Feeder Services or Feeders Installation, Alterations or Relocation: JOB DESCRTPTION A'lerm Tnsfa'l laf lon B 200 amps or 201 amps to 401 amps to 601 amps to Over 1000 Reconnec t less S 50.00 400 amps $ 60.00 600 amps $100.00 1000 anps 5130.00 ts c D. Branch Circuits Tenporary Services or FeedersInstallation, Alteration or Relocation 200 amps or less 201 amps to 400 anps -Over 401 to 600 amps -Over 600 amps or 1000E-fts amps/vo1 OnIy $300.00 s 40.00 see nBrt affi s 40.00 $ ss.00 s 80,00 The installation is being made onproperty I orn vhich is not intendedfor sa1e, lease or rent. Oyners Signature: Nev, Alteration or Extension per panel One Circuit S 35.00 Each Additional Circuit or vith Serviceor Feeder permit g 2.OO Hiscellaneous (Service/feeder not included) -Each installation Puup or irrigation Sign/0utline Lighting-Linited Energy/Res -Linited Energy/Comm T SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrativi Fee TOIAL E s 40.00 s 40.00 $ ?0.00 $ 36.00 36-00 DATE: OREGONCITY OF RECETI/ED 5 hes thtr LA