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HomeMy WebLinkAboutPermit Electrical 1998-07-14CITY OF OREGAN sPfil. ;,ELO C/ D % 225 FTTTB STREET SPRINGFIELD, OREGON s7477 N EI^E TRICAL PERHIT APPLICATION Number q 0 869 INSPECTION REOIIEST:726-3ffi9 pERMtT SHALL EXPI oFFrcE: 726-375e AUTHORTZED UNDEtsTHtS&Efrt6[TrE Ngff scmoulE BELov 1. LocArIoN oP INSTALUTIQIMvENCED OR lS tBANRg,i'ltD"E?F"ntiaI:SingIe or ,1 oa Multi-FamilY Per dvelling un Service Included: Items JOB DESCRIPTION 1000 sq.ft. or less Each additi.onal 500 sq. ft or Portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: PTION Permits are non-transferable and expire if vork is not started vithin 1B0 days ;; i;;;"t"" ot if vork is susPended for 180 days. 2. COI.ITRACTOR INSTALLATION ONLY Electrical Contractor Soni trol Secur i t! Add ress P.O. Box 21009 Ci ty Eu ene Phone 46 - 5678 Supervisor License Number Constr Contr Number 651 49 Expiration Date 6-28-00 Signa ture of Su 1 Electrician Ovners Name Expiration Date /L - /- "/-/ C.TemporarY Services or Feeders inti.ff.iio", Alteration or Rel-ocation 200 amps or fess,oi ;*;" to 4oo amps -- Over 401 to 600 amPS - 0ver 600 amPS or 1000 volts 200 amps or less ioi "r'pt to 400 amPs -401 amps to 600 amPS --60L amps to 1000 amPS- Over 1000 amPs/volts - Reconnect 0n1Y One Circuit Each Additional Circuit or vith Service or Feeder Permit SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B it. Cos t $ 8s.00 s 1s.00 $ 40.00 $ s0.00 s 60.00 s100.00 $130.00 $300.00 $ 40.00 .00 .00 .00 ilB|' s 3s.00 s 2.00 Sum above $40$ss sB0 see Branch Circuits Nev, Alteration or Extension Per Panel Address / 4(e 5. 15 ' n Ci ty OIINER INSTAILATION The installation is be propertY I own vhich i for sale. lease or ren Owners Signature: Phone made on ot intended Eing sn t. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40'q9 iignzoutrine Lightins- t 19'99 t iilited Energy/Res : S 20'00 5 DATE: RECEI RECEIVED B )tD oo 3,1.f-r