HomeMy WebLinkAboutPermit Electrical 1998-06-25225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
1
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726-3t 69 a6 tt
SPFI.. - .jFIELEl
Ci ty Job Number
3. COHPLETE FEE
ent
t ems
or portion
thereo f
Each Manuf'd Home. or
l'l^r "'l ., r I\ ,ol 'l i n olrwuuro! vnv4--.'6
SerVice or Feeder
B. Services or Feeders
Installation, Alterations
.CT46.or Relocation:
200 amps or less
ior .*'p" to 400 amPs ---:
401- amps to 600 amPS
--60L amps to 1000 amPs-
Over 1"000 amPs/vo1ts
-
Reconnect 0n1Y
C
200 amps''or less,oi ;*;" to 4oo amps
-0ver 401 to 600 amps ------Over 600 amPs or 1000 voLts
Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Admini.strative Fee
TOTAL
, -., .. Joor no( requlrc tEo
t
r:'.;al.
b{,ELE.TRT.AL PERurr 3{e/rl{
TION INSTALLATION
A
3/S0N il t7 ?enr'
DESgRIPTION
PTION-
Permits are non-transferable and expire
if work is not started vithin
--- : c ..^--1. :^ ^oI iSSLlalluc ur r I wu!A ro J
180 days
2. CONTRACTOR INSTALI-ATION
Electrical Contractor
Address *__+,
Cos t
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
1
E
s
Ci ty
Supervisor License Number <61 25
TemporarY Services or Feeders
inituff.iion, Alteration or Relocation
%$
$
$
se
00
o0
00
B" a56v6-
40
55.
80.
:g tl
Expiration Date
Signat rvl.s1 ng Electriciano
D
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, lease or rent'
0wners Signature:
0wners
Address
Ci tv Phone
DATE:
I
Nev, Alteration or Extension Per Pane1
one circuit I g 35.00 fr_
s;.lr-AdJi iional -----t-
:l';:il.:'r:*1,'"'ut> s 2.oo a-
Miscellaneous (Service/feeder not included)
-Each installation
PumD or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
-
Limi ted EnergY/Comm
E
5
$ 40.00
s 40.00
$ 20.00
$ 36.00
^-lgu*ti {5
RECEIVED
Ynone L/752a6
Expirat ion o^r" l% t/Q ?
Constr contr . u,tnaet I b4 4 21
OR\S