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HomeMy WebLinkAboutPermit Electrical 1997-03-11.ATY OFSPR SPrllIN(iFIELO 225 TIFTE STREET SPRTNGFTELD, OREGoN 97477 INSPE(f,ION REQUESTz 726-3769 OFFICE: 726-3759 1.LOCATIQN4E Nl. 0L d. ALI^ATION SCRI ON expi re days ed for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contracto Address trL Ci ty Pho".11lee3b Supervisor License Number loKleS Expiration Date ID 1 -q( Constr Contr. Number Expiration Date Q1 q7 Signa ture of SuPervising Electrician h, ELECTRICAL PERHIT APPLICATION Ci ty Job Nurnber O?FS 3. COHPIJTE FEE SCffiDTItE BELOV Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included:I tems Cos t Permits are non-transferable and if vork is not started vi thin l"B0 oi i""uunce or if vork is susPend A. B c 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or l,lodular Dvelling SerVice or Feeder Services or Feeders Installation, Alterations or Relocation: or less $ 8s.00 s 1s.00 .g ao.oo s s0.00 s 60.00 s100.00 s130. 00 $300.00s 40.00 Sum 6o,oo200 amps 20L amps 40L amps 601 amps Over 1000 Reconnect to 400 amPs _-to 600 amps - to 1000 amPs- amps/volts - Only TemporarY Services or Feeders inii"ff.iion, Alteration or Relocation 200'amps''or less,oi ;r;" to 4oo amps -Over 401 to 600 amPs - Over 600 amPs or 1000 volts 40.00 55. O0 80.00 ee ttBrt aE-OVe $ $ $ s Ovners Name Address Ci ty Phone 14to D Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit _- $ 3s.00 $ 2.00 E MiscefLaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited EnergY/Res - Limited EnergY/Comm OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent' 0wners Signature: s 40.00 $ 40.00 $ 20.00 s 35.00 DATE: SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL do. oo A, SOl. So .{4. o c) RECETYED B 5