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HomeMy WebLinkAboutPermit Electrical 1992-12-08:;,.r,tt{(;l: ,t:LU criiirlg, and does not cval, The following project Jt 5. SI'BTOTAL OT ABOVE 5f State Surcharge TOTAL q.t 225 FTTTTI STRIII|T SPRTNGFIIID, oI|EGoN 97477 INSPEcf,IoN REQUESTT 726-3 OFPICE: 726-3759 PENHIT APPLTCATTON 3. COHPLBTB T'EB HuIti-FamiIy per dvelling unit. Service Included:Items Cost 1.000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf 'd llome or Moclular Dvellirig Service or Feeder $ Bs.oo $ 1s.00 $ 40.00 1. LOCATION sig LEGAL DESCUI'TION DBSCRIPTION ry{-- Permits are non-transferable and expire 1f vork is not started vlthin 180 days of issuance or if vork ls suspended for 180 days. 2. CONTRACTOR INSTALI.ATION Electrical Contractor Add r:ess city Job ttunuer ?2/ OG? SCIIEDULB BELOIT al-Single or 769 i611:n Sum clqe 4d4'7 Services or Feeders Installation, Alterations or Relocation: 200 amps or less -|--201 anrps to 400 amps - 401 amps to 600 amps - 601 amps to 1000 amps- Over 1000 amps/volts - Reconneet OnlY B. Ci ty Supervisor Licens Nu '72 Ll2 5 Expiration Date Constr Contr. |tunber b7 3/ O Expiration Dat. Signatur ctrician 0vners Name Add rcss 2 12d ci ty-Phone OVNER INSTALLATION The installation is being made on property I own vhich is not intended for sa1e, Iease or rent. Ovners Signature: DATE: Temporary Services or Feeders Insiallatlon, Alteration or Relocation 200 amps or less $ 19.99 201 amps to 400 amPs $ 55.00 over 4b1 to 6oo amps - $ Bo.oo , 0ver 600 amps or 1000-volts see nB" above Branch Circuits Nev, Alteratlon or Extension Per Panel Phone mber $ s0.00 $ 60.00 $100.00 $130.00 $3oo. o0 $ 40.00 .r,?) ao_E-, A. D One Ci rcui t Each Addi t ional Circui t or vi th Service or Feeder Permi t s 3s.00 $ 2.00 E. l'liscellaneous (Service/feeder not incltrded) -Each installation Prrmp or irrigation Sign/Outline Lighting- Limi ted Energy/Res 00 00 00 00 s40 s40 $20 s36 RIiCEIVIiD IIY:4P*-g- as submitted has require specific 50@ -t rjb C.