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HomeMy WebLinkAboutPermit Electrical 1999-12-06aC'TY OF 225 FITTH STREET SPRINGFIELD, oREGON 97477 INSPECTION REQUESTT 726-37 0FPICE: 726-3759 1 ON\rl S Address RqTR?HU]Y qq qNTTTT{ Supervi.sor License Number 40795 Expiraiion Date 10 / 1, /Ot constr contr. Number 20-403c Expiration Date 1o/01 /no Signat INGFIELc, APPLICATION 1t tb 31 SCENDULE BELOV Nev Residential-Single orMulti-Family per dvelling unit. Service IncLuded: f tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Service or Feeder s 8s.00 s 1s.00 $ 40.00 Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps I 3 A Dr\Sum Permits are non-transferable and expireif vork is not started vi thin 1.BO daysof issuance or if uork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contracror ARC ELECTRIC INC B ) s s s s $ 00 00 00 00 00 00 50 40 50 r trician C 40.00 55.00 80.00 ee rrBrr a5ove D. Branch Circui ts New, Alteration or Extension Per Panel Temporary Services or FeedersInstallation, Alteration or Relocation 401 amps to 600 amps -60L amps to 1.000 amps- Over l-000 amps/volts - Reconnect 0n1y One rCircui t gach\ adai tionalCircuit or vith Service.or Feeder Permir a 200 amps''or less S201 amps to 400 amps - Sover 401 ro 600 amps - $Over 600 amps or 1000 v6fTs s 60. 100. 130. 300. s 3s.00 $ 2.00 s 40.00 s 40.00 $ 20.00 s 36.00 L 0vn Add Cit sNa hone The installation is being made onproperty I oun vhich is not intendedfor sale, Iease or ren t. Orners Signature: DATE: E. MiscelLaneous (Service/feeder not included) -Each ins tallation Pump or irrigation Sign/Ou tline Ligh ting- Limi ted Energy/Res -Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Admini.strative Fee TOTAL res 5 RECEIYED I] r)-a a q ifij"fy", 2- Signature o Date I q