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HomeMy WebLinkAboutPermit Electrical 1994-03-11225 FrrtE SltEBr SPRINGPTEIJ, ORBGoN 97477 INSPECTI0N REQI ESTI 726-3 OFEICE: 726-3759 oa"3=!+-3-.!-!--qq 3. 1. IOCATION OP Adhortssd SPRTirGFIELO APPLICATION lrl 0 FEE SCHEDUIA BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost Sum 1000 sq.ft. or }ess Each additional 500 sq. ft or portion thereof Each Manuf'd Home or -Modular DveIIing Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 Services or FeedersInstallation, Alterations or Relocation: ')<.1"7 aDO f,,r.^,u Phone Stll-tUf t 200 amps or less I201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect Only B ci -_-r--Supervisor License Number Expi rationDate lE-t-q{ Constr Contr. Number 3 f/6'c. I Expiration Date -7 ture of Supervlsing Electrician Ovners Name Address 0np;cd,=4c> ci Phone L{(,LZ.boli OITNER INSTALLATION The installation is being made on property I or.rn whj.ch is not intendedfor sale, lease or rent. 0vners Signature: Temporary Services or FeedersInstallation, Alteration or Relocation i37)-1 6tu$ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c L 200 amps or }ess 201 amps to 400 amps 0ver 401 to 600 amps -0ver 600 amps or 1000T6-T[s $ 40.00 $ ss.00 $ 80.00 see rrBtr affi D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Addi tionalCircuit or vith Serviceor Feeder Permit g 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $Sign/0utIine Lighting- $Limited Energy/Res - $Limi ted Energy/Comm $ 5o'ry: 40.00 40.00 20.00 36.00 5 STIBTOTAL OP ABOVE 5Z State Surcharge TOTAL DATE: BRECETVED (,' a OREGO'UC'TY OF SPF 4 (_ c'.a l*- DESCRIPTION 4eoaU Permits are non-transferable and expire if vork is not started vithin 180 days of lssuance or if vork is suspended for 180 days. 2. COtflSACtOR INSTALI.ATTON ONLY Electrical Contrac tor g gt{,|$,Vd\,& - Address }-37o..r?&Fl a c,fY JOB DESCRIPTION /)\-oPermits are on-transfe b and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI,ATION ONLY Electrical ContractoPRtGON ELEfiRlC S[RylCE Address !3?t-, A.Z-- Ci ty 4r*".*- phone E{S lUV l Sup"rriror Ji cense Ndmber / $Ua S us€ EIJCTRICAL PERilTT APPLI City Job Nunber 3 PEE SCEEDULE BELOU A. Nev Residential-Single or MuIti-FamiIy per dvelling unit. Service Included: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dvelling Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders Installation, Alterations or Relocat ion: 200 amps or less ! 201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 anps/vo1ts Reconnect Only C. Temporary Services or Feeders Installation, Alteration or Reloeation D. Branch Circuits 1- db 225 FIFTE STREET sParNGrrELD, oREGoN INSPECTION REQTIBST: 0FFICE: 726-3759 Dato -at- 7 1 TOCATION OF INST dra.}o t--) ALI"ATION3 t<* Sum B $ s0.00 $ 60.00 $100.00 s130.00 s300.00 $ 40.00 &L*" Expiration Date Constr Contr. Number -1tC.e,, f irationDate q(qA tolq4 Address Q, iA *rZ-.] r.3 {o Nev, Alteration or Extension Per Panel s 3s.00 Exp of Supervising Electrician Ovners Name OVNER ON The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. Oyners Signature: DATE: RECEIPT 200 amps or less $ 40.00 201 amps to 400 amps _ S 55.00 0ver 401 to 500 amps _ $ 80.00 Over 600 amps or L000 volts see "Brt above ciw dnz.a t ** Phone 4U tJboe.t Jrr**r, One Circui t Each Additional Circuit or vith Service or Feeder Permi t Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/outline Lighting- S Limited Energy/Res $ Limited Energy/Comm S SI.IBTOTAL OF ABOVE 5tr State Surcharge TOTAL l-. $ 2.oo not included) 40.00 40. 00 20. oo o-{)-_>(, C\525& So RECEIVED BY: 5