HomeMy WebLinkAboutPermit Electrical 1996-02-26CITY OF SPF"VGFIELD, OREGON
:iPFIrILiFtELD
ng as
225 FIYTE STREET
SPRTNGETELD, ORBGON
INSPECTTON REQTIEST:
oFBICE: 726-3759
not rsquire specilic land ue€
A
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
Ltr
c
(-
!?
zorring, onci does
approval.
1.OP INSTALI,ATION
I,EGAL
JOB DBSCRIPTION
Pernits are
if vork is
of issuance
L80 days.
non- t rans ferable and expire
not started vithin 180 daYs
or if vork is susPended for
2. COMRACTOR INSTALI,ATION ONI,Y
Electrical- Contractor Son i t ro I S cur i ty
Address P.O.Box 21 009
Ci ty Eu ene Phone 461 - 5678
EI,EETRTCAL PERI{TT
City Job Nunber 2
SCffiDTII^E BELOIT
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:
97477 b
Authorized
Cos t
$ 8s.00
$ 1s.00
$ 40.00
s see
.00uBu aE6G-
Sum
Supervisor License Number
Expiration Date,g _?
200 amps or lessioi "rb" to 4oo amPs
-401- amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
Temoorary Services or Feeders
i"ii"ffaiion, Alteration or Relocation
200 amps or less
zoi "tb" to 400 amPs
-0ver 401 to 600 anPs
-
Over 600 amPs or 1000 volt
$ s0.00
$ 60.00
$100. 00
s130.00
$300.00
$ 40.00
,D -/
Constr Contr . Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
Ovners Name
Address
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
oi-r"ea"tPermit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each i.nstallation
Purnp or irrigation
Sign/Outline Lighting-
Limited EnergY/Res
-
Limi ted EnergY/Comm I
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
_3G@
7-Eb
00
00
$40
$ss
$80
ci L Phone
OVNER INSTALI,ATION
The installatlon is being made on
;;;p;;tt-r ovn vhich is not intended
for- sale, lease or rent '
Olrners Signature:@
$ 40.00
s 40.00
$ 20.00
$ 36.00
5
DATE:
RECEIVED
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