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Home My WebLink AboutPermit Electrical 1994-03-17SPGlTNGFIELO afr 225 ETYfB' STREET ipnrNcrrsl,D, oREGoN 97477 :rlSPrCrfOX nrOugstz 726-3769 OBFICE: 726-3759 BI.,ECTRICAL PBRHIT APPLICATION Ci ty Job Nurnber Service Included:' 1. LOCATION 3. COHPI,ETE FEE SCEEDULE BELOV A. Nev Residential-Single or Multi-FamiIY Per dvelling unit'I ,/tr IAGAL DESCRIPTION,*z JOB DESCRIPTION 180 daYs. 2. CONTRACf,OR INSTALI"A'TION ONLY Permits are non-transferable and ii-"ort is not started vithin 1Bo ;; i;;u""ce or lf vork ls susPend 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder B. Services or Feeders Installation, Alterations ,:or Relocation: 200 amps or less 201 amps to 400 amPs - 401 amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0nIY c. 200 amps or less 201 amps to 400 amps - One Circuitg;"h-Aadi tional Circuit or vith Service or Feeder Permi t - STIBTOTAL OF ABOVE 5Z state Surcharge TOTAL Items Cos t $ 8s.00 $ 1s.oo $ 40.00 Sum expi re days ed for Electrical Contracto Address ., -4 Ci tY Phone Supervisor License Number ?i4z Expiration Date Constr Contr. Number , Expiration Date Slgnature of SuPervlsing EIect cran Z Temoorary Services or Feeders insi"ff"iion, Alteration or Relocation .00 .00 .00 00 00 .00 50 60 100 C $ $ s $ $ $40 $5s $80 130.00 300.00 40.00 $ 3s.00 0ver 401 to 600 amPs Over 600 amPs or 100 OE-fts see rrB" aSove D. Branch Circuits Nev, Alteration or Extension Per Panel i Orne rs Name Address Ci ty O\JNER Phone $ 2.oo E Hiscellaneous (Service/feeder not included) The installation is being made on piop.tty I ovn vhich is not intended ior sale, Iease or rent' Ovners Signature: -Each installation eu*p o. irrigatlon - $ iigizoutrine Lighting- tLimited EnergY/Res S 40. 40. 20. 00 00 00002 5 36. ?/. ? o DATE: RECEIVED z - Fo _z Z -?6 llan' .? \ OREGO'UC'TY OF SPR,,VGFIELD, 225 FTfrB SlREEf, SPRT}|GFIELD, OREGoN 97477 INSPECTION REQUBST: 726-3769 OFFICE: 726-3759 5Prl't\lGFIELO Thetollodng Prolect as zonlng, and does not require sPooi{i': oaeign:-3Jl citY Job Nunber Aurhortssd sione!4efuffig;g--fEE"-seffiilIlB BBLOS apProlal"*' lon,n n Ld'-=-]]_g,crRrcAl, PERI{rr APPLTSATT,N Electrical Contracto 1o c. Address -.* cl Phon.-?/,? - ffZ{ Superviso r License Number z24 1 IOCATION I,BGAL DBSCRIPTION JOB Exp Exp iration Date Slgnature of SuPervising Blec cian / Ovners Name Address Ci ty Phone OVNBR Nev Residential-Single or Multi-Family Per dvelling unit' Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Modular DveIIing Servlce or Feeder Services or Feeders Installation, Alterations ;ar Relocation: $ Bs.oo s 1s.00 $ 40.00 200 amps or less iOr .ri= to 400 amPs -401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amPs/vo1ts - Reconnect OnIY s see ItBt'a5ov6- A. permits are non-transferable and expire if work is not started vithin 180 days oi i""u"nce or lf vork ls suspended for 180 days. 2. COT.II3AC'TOR INSTALI^ATION ONLY Sum 35.00 2.00 not included) 40.00 40.00 20.00 36.00 z B. c. B $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 5s.00 $ 80.00 iration Date Temporary Services or Feeders Installaiion, Alteration or Relocation 200 amps or less 201 amps to 400 amPs - Over 401 to 600 amPs over 600 amps or 1OOO voTt a D. Branch Circuits Nev, Alteration or Extension Per Panel The installation is being made on pioperty I ovn vhich is not intended for sale, Iease or rent' ()rmers Signature: One Circuit S Each Additional Circuit or vith Service or Feeder Permit - $ Miscelfaneous (Service/ feeder -Each installation Pump or irrigation - S sign/outline Lighting- It,iilited Energy/[es -- S 5 SUBTOTAL OF ABOVE 5f State Surcharge TOTALDATE: RBCEIVED _3G. Constr Contr. nunber 7a ?ad 3 _z ? -*C