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HomeMy WebLinkAboutPermit Electrical 2002-01-25225 FIFTH STREET SPzuNGFIELD. OREGON 97477 INSPECTiON REQUEST'.'7 26 -31 69 OFFICE: 726-3159 I. LOCATION OF INSTALLA'qo3f € LEGAL DESCRIPTION ta o)3 "l"l 3 O Z7o o JOB DESCRIPTION ,Y1/1 SfuuLcs Cr+A/ve{ Permits a if work is of issuance or if rvork 180 days. , 6t" Authorized lo 2. CONTRACTOR INST Electrical Address roe Citl EutfrrA+ Phone Citv Job COIVIPLETE FEE SCI#DI.]LE BELOW Ne*' Residcntial-Singlc or Multi-Farnily per dl'elling unit. Scn'ice Included: 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof 1!"'sernnurnufcl Horne or 'on1.fi88rtL Drvetling Service or Feeder Feeders Installirtion , Alterations ltion 200 amps or less 201 amps to 400 401 amps to 600 601 amps to Over 1000 a volts see { rlO$'l rO 30g0 I Items Cost te _ $ 19.00 _ ,I str.oo 5C .- Supen'isor License Nurrrber Constr Contr. Number ' Expiration Date ^:3/i7 lob of Sup er-visin g Electrician t t(! { no Phone OWNER INSTALLATION cl AR the for sa r\' Energy/Co 7oh Stirte Surcharge 87o Administrative Fee '$50.00 s25.00 $45.00 3ro t/Oo mm N'Iinimum Electric Permit Inspcction Fce is S-t5.00 * Surchargc.s da) 4. SUBTOTAL OF ABOVE JC)- 5l;2 Orvncrs TOTAL ELEC I RICAL PERMIT APPLICATION $ 106.00 days (eao) Nerv Alteration or Extension Per Panel One Circuit $375.00 , $69.00 .- $ 100.00 Expiration taloi o'3 C. Tentporary Institllation, D. Oryners N ojs ", E l?*k 6r $43.00