HomeMy WebLinkAboutPermit Electrical 2002-07-15/{/
225 FIFTH STREET
SPzuNGFIELD, OREGON 97 477
INSPECTiON REQIJEST : 7 2(': -37 69
l. Lo CATION OF INSTAILATION
tzC
B DESCRIPTION
NEW I
Permits are non-transferable and
if work is not started lvithin l8t)
of issuance or if rvork is
180 days.
Citl'
ELEL ^ {CAL PERI!{IT APPLICATION
Joh Numbe' D
OFFICE: 726-3159
3. COIVPLETE FEE SCHEDULE BELOW
A. \elr Rc.sidcntirrl-Singlc or
Multi-Family per du'elling unit.
Service Includetl:
SumItems Cost
2 CONTRACTORINSTALLATION ONLY
Electrical Contractor Beacon Electric
less
500
,?-
thereof
Mamrfd Home or
Ivlodular Drvelling
Senice or Feeder
B. Sen'ices or Fecders
Installation, Altcrations or
Rclucation:
200 arnps or less
20 I aurps to -100 amPs
-101 antps to 600 amPs
60 I urtrps to 1000 artrPs
Over 1000 amps/volts
Reconnect Onlv
$ 106.00
$ 50.00
I s 63.00 63-0o
$ r 25.00
$1
w
S\gnature
Address 2585 Ro evelt Bl-vd
City Eu
Supen'isor urnber
orConstr Contr . Number
xpiration Date
Signature of Super-v'ising Electrician
THJS
ASV",
"B" above
D.
E.
Orvncrs Signlture.
-0
cdu 1t4-q3l)
for sale, lease or rent,
-Each installation
Pump or irrigation
Sign/Otrtline Lighting
Limited Energv,Res
Lirnited Energr'/Comm
s50.00
$50.00
s2 5.00
$+5.00
Nlinimum Electric Permit Inspection Fee is S45'00 * Sur-chargcs
{. SUBTOTALOFABOVE
77o State Surchlrge
8%o Administrativc Fee
TOTAL a2 1s
LEGAL DESCRIPTIONi703z.533 has
$ 19.00 __
C.Services or Feeders
follow
numbsr Oregon UtilitY
1000
N
phong 541 -461 -0291
34855
OWNER