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HomeMy WebLinkAboutPermit Electrical 2001-08-21Date zz5 FrFTE STREET Authorized Bl$natute SPRINGFTELD, oREGON 97477 INSPECTION REQLIEST: 726-3769 . OFFICE z 726-3759 1. LOCATTON OF INSTALLATTON I..EGAL DESCRIPTION/7.03.as'3r o-71 6n JOB DESCRIPTION Permits are nbn-trans ferable and expire if vork is not'started vithin 180 days of issuance or- if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,,ATION ONLY Electrical Contractor Address //0 lilmr)g Ci ty E tt6€r?e Phone 344-3sbl SPrlINGFTELO ELECIRICAL PERHIT APPLICATION City Job Number COHPIJTE FEE SCEEDTILE BELOII Nev Residential-Single or Multi-Family per dvelling unit. Service Included: ftems Cost 1000 sq.ft. or less S B5.OO Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or -Hodular 'Dvel1ing SerVice or Feeder s 1s.00 s 40.00 Services or Feeders InstalIation, Alterations or Relocation: 200 amps or 201 amps 401 amps 601 amps ilotttng U- 3 A Sum B less 400 amps 1000 amps s s0.00 s 60.00 s100.00 s130.00 $300.00 $ 40.00 to to to-J Supervi-sor License Number Expiration Dare ltZ/Ot lOt Signature of Supervising Electrician Wnd Ovners Name Ban.^lr.l4.-- Over 1000 amps/vo1ts Reconnect 0n1y Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps''or less S 40.00 201 amps to 400 amps - $ 55.00 0ver 40L to 600 amps - $ 80.00 Over 600 amps or 1000-tofTs see rrBrr a6ove-- D. Branch Circui ts C 5. SUBTOTAL OF ABOVE 7% State Surcharge 3Z Administrative Fee TOTAL Constr Contr. Num Expiration Date s irz /oz ber 0 Address lb tt l8h- citv SlrZ.ke\Phone_---_._u- OSNER INSTALLATION The installation is being made on property I oun vhich is not intended for sale, Iease or rent. Ovners Signature: lll! Nev, Alteration or Exterrsion Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit S 2.00 {r*- E Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation S 40.00 sign/outline Lighting- $ J;mO e.:Limited Energy/Res - $ 20.00 I v0 b.- -3.s-4--67.?oRECETVED BY: 4o1- o t I l" l( l8+r- S4+ru r- / oq?,s