HomeMy WebLinkAboutPermit Electrical 1997-02-04C'TY OF ONEGON
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ELECTRICAL PERHTT APPLICATIONo.+-gttEe225 FIFTE STREET
1.
SPRINGFIELD, OREGON 97477r ,.., - I I f,t
INSPECTfON REQT EST: 726-3769 r " / v.l, . ,. .Ci
OFPICE: 726-3759
ty Job Number 4 lLl I 5
T7oTl5f,fl D 3oo (f
JOB DESCRIPTION
Permits are non-transferab and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT.ITRACTOR INSTALLATION ONLY
Erec tri ca1 con t rac,.. C * S €-hOfuLn', t/,Tfg
Ad
Ci
dress p,
Phone tl4l lAjb.
Supervi sor cense Number I1"8 l, .S
Expiration o.te l0-l--QB
Expiration Date q-
Signature of Supervising Electrician
3. COHPTETE FEE SCEEDTIIJ BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
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 Relocation:
200 amps or less I
201 amps to 400 amps _
401- amps to 600 amps _60L amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
c Temporary Services or Feeders
Installation, Alteration or Relocation
LOCATION
335'0 CI
OF
NI
ALLATIONINST
*[-f A
B
Sum
5a "ao
40.00
55.00
80.00
ee rrBrr aSove
6
$ s0.00
s 60.00
$100.00
s130. 00
$300.00s 40.00
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
over 600 amps or 1000 voT-ts
$
$
$
s--
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Address 335O Oru *fu
Ovners Name
cit Phone tl+'l- 458o
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Otners Signature:
DATE:
E. Misceflaneous (Service/feeder not included)
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t *
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
o $ 3s.00
s 2.00 +-""
-Each instal-Iation
Pump or irrigation $
sign/outline Lighting- $
t imited Energy/Res $
Limited Energy/Comm $
40.00
40.00
20. 00
36.00
5
RECETVED B
I
Constr contr. wunfer 03949