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HomeMy WebLinkAboutPermit Electrical 1998-07-08CITY OF 6ot opcc$lc lond uso SPFiIT IELO CAL PERHIT APPLICATION $ s0.00 s 60.00 $100.00 s130.00 s300. 00 $ 40.00 40.00 55.00 80.00 ee trB* a6ott 225 FIFTE STREET SPRINGFTELD, OREGoN fvW?F* fNSPEC;TION REQUEST: 726-3769 OFFTCE: 726-3759 1 LOCATION OF INSTALLATION tc+l : +AY4- JOB DESCRIPTION [,rrr,,r.-r- k p ^ *. Ot-<z*tOrT- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COIVTRACTOR INSTALI.,ATTON ONLY Electrical Contractor@ d/..-+ 5;r*,, Address .po A.o. "11s Ci ty PhoneqlQ$- t{r8l Supervi icense Number t{q.f, 5 Expiration Date lo /qg Constr Contr. Number Expiration Date lo la I Signature of Supervising Electrician Ovners N Address sS-"- o ..;'ri n /l zoni,rw.-99---,?Y48 ci ty-enone \T-t -ZQ ly' OVNER INSTALLATION The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Ovners Signature: Job Nunber LETE FEE SCHEDULE BELOV Residential-Single or Multi-FamiIy per dvelling unit. Service Included: ftems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home. or Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 $ 40.00 Services or Feeders Installation, Alterati.ons or Relocation: 1$rs 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- Over 1000 amps/volts -Reconnect 0n1y 200 amps''or less $ 20L amps to 400 amps - S Over 40L to 600 amps - $ Over 600 amps or 1000 voITs s 1$e\t SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL T Sum B C Temporary Serviees or Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit Eaeh Additional I s 3s.ooOS: Circuit or vith Serviceor Feeder Permit _J_ S 2.OO .f: E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0utIine Lighting- Limi ted Energy/Res -Limited Energy/Comm $ 40.00 s 40.00 s 20.00 $ 36.00 31 h DATE: BRECEIYED 5 t lsS--rn--.i(qw- t\\$ rs{ \$Sc 0