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HomeMy WebLinkAboutPermit Electrical 1997-03-28SPflrv{GFIELD 3-LK-fl % ,-,-P-r\4- ----+r*GrRrcAL PERHIT APPLICATION 225 FTFTH STREET SPRINGFIELD, OREGON INSPECTION REQTJEST: OFFICE: 726-3759 97 477 726-3769 Ci ty Job Nunber ,l l oqs)-' 1. LOCATION OF INSTAILATION //g Al J /Sf )1 CO JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days ;; i;;;.""" o. if vork is susPended for 180 days. 2. COMRACTOR INSTALI,ATION ONLY Electrical Contractor Son i trol Secur i ty Ad dress P.O. Box 21009 3. COHPI,BTB FBE SCffiDTII,E BELOV A. Nev Residential-Single or MuIti-FamilY Per dvelling unit Service Included: f tems 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: Cos t s Bs.Oo s 1s.00 $ 40.00 $ s0.00 s 60.00 s100.00 $130.00 $3oo. o0 s 40.0c E-o Sum B City Euqene Phone Supervisor License Number Expiration Date /o * /'?9 Constr Contr.Number 651 49 Expirat i.on Date 7-2OOO Si ture of ts Electrician 0vners Name /-t Sorn TemporarY Services or Feeders Insiallaiion, Alteration or Relocation 200 amps or less S 40'00 Over 600 amps or 1000 voTts see 'rB" above Branch Circuits Nev, Alteration or Extension Per Panel" gne Cireuit S 35.00 Each Additional Circuit or vith Service or Feeder Permit - S 2'00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0ut1ine Lighting- Limited EnergY/Res - Limited Energy/Comm / 3Gob 46 7B /b89 200 amps o 201 amps t 401 amps t 60L amps t Over 1000 Reconnect r less o 400 amps - o 600 amps - o 1000 amPs_ amps/volts _ 0n1y Add res s Ci ty ? C D E Phone 751" -2 -7+ OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, l-ease or rent ' Orrners Signature: s 40.00 $ 40.00 s 20.00 s 36.00 5 SUBTOTAL OF ABOVE 52 State Surcharge 32 Administrative Fee TOTAL DATE:o$ CITY OF ONEGON RECEIVED a& 3G.,o