HomeMy WebLinkAboutPermit Electrical 1997-03-07OREGO'UCITY OF
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225 FTITE STREET
SPRINGFIELD, OREGON 9747
INSPECTION REQUBST. 726
OFFICE: 726-3159 Aurhorized Signature_
L LOCATION OF INSTAILATION
5n n hnt )(
10 55Ao
JOB DESCRIPTION
d expire
B0 days
nded for
180 days.
2. CO}ITRACTOR INSTALTATION ONLY
Electricaf Contractor Son i t ro I Se cur it
Addres s P.O. Box 21009
City E u qene Phone 461 -5678
Permits are non-transferable an
if vork is not started vithin 1
of issuance or if vork is susPe
A
B. Services or Feeders
Installation, Alterations
y or Refocation:
200 arnps or less
201 amPs to 400 amPS
-
40L amPs to 600 amPs
-_601 amPs to 1000 amPS-
Over l-000 amPs/volts
-
Reconnect 0n1Y
c
D
BLECTRICAL PERHIT
City Job Number
SCMDULE BELOV
Nev Residential-Single or
Hulti-FamiIY Per dvelling unit'
Service Included:
I tems Cos t
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
APPLICA
fic
Miscelfaneous (Service/feeder
-Each installation
Pump or irrigation
-
$
iienuortrine Lighting-- t
i,iili. ted Energy/Res
-
$
CU TION54{
$ s0.00
s 60.00
$100.00
s130.00
s300.00
s 40.00
s 1s.00
$ 40.00
not
40.
40.
20.
36.
40.00
55. OO
BO. O0
ee rBrr a6ivE-
Sum
included )
Supervisor License Number ' € R'ET
Expiration Date -/-
Constr Contr Number 651 49
Expi ration Date 7-2OO0
Signa ture of SuPervising Electrician
TemporarY Services or Feeders
lnstallaiion, Alteration or Relocation
S
$
$
s
200 amps or less
ior "rb. to 4oo amPs
-Over 401 to 600 amPs
Over 600 amps or fOOO-voTTs
Branch Cireuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.00
$ 2.00
Ovners Name
Address c
Ci ty yhone 73/o- 688
OIINER INSTALLATION
The installation is being made on
;;;p;;,y r ovn uhich is not intended
ior sale. fease or rent'
Osners Signature:
E
00
00
00
00
5 SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
4DATE: 5'
RECETVED B
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