HomeMy WebLinkAboutPermit Electrical 1994-07-12t ,a I I aa
225 FIFTB STREEf,
SPRINGFIEID, oREGoN
INSPBCTION REQTIBST:
oPPICE: 726-3759
9747
726-3769
Ca!e a
1 LOCATION OP INSTALI-ATXfltrorizea
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JOB DESM.IPTION
Permlts are non-transferable and explrelf vork ls not started vlthin 180 daysof lssuance or if vork ls suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONIY
Electrical Contrac tor €]Jh€N€ €tgL__
Address z^a
ctt@ Phone 34* -S sb
Supervisor Licen
Explratlon Date
se Ndmber LDn S
Constr Contr. Number Zo -z'Lo L
Expiration Date Wl o r lq4
Slgnature of Su pervlslng Electrlclan
bllowlng
u80
ELECTRICAL PERHIT AP
City Job Number
q
SCBEDULE BELOV
Nev Residential-Single or
Hultl-FamiIy per dvelling unlt.
Service fncluded:
?ilXPf$"i'X"*'il:
0i!
4L-q k
@
A
B
1000 sq.ft. or less
Each addltional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
Services or Feeders
fnstallation, Alterations or
Relocation:
5. STIBTOTAL OP ABOVE
5Z State Surchar
Items Cost Sum
s 8s.00
s 1s.00
s 40.00
d200 amps or less t201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0nIy
Pump or irrigation $Sign/outIine Lighting- SLimi ted Energy/Res
-
SLimi ted Energy/Comm S
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
c Temporary Services or peeders
Installatlon, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-over 401 to 500 amps
-Over 600 amps or 1000ET[s
Branch Circults
Nev, Alteratlon or Extension per panel
one Clrcuit S 35.00Each Addi t ional
Ci rcui t or vi th Servi ce h ,lDor Feeder Permi t L S 2. 0O Ay
Hiscellaneous (Service/feeder not included)-Each installation
7
$ 40.00
$ ss.00
$ 80.00
sge ttBtr a Stve
DOvners Nanie
Address
Ci ty Phone
OVNER
DATE:
RECEIPT
ON
The installatlon is being made onproperty I ol.,n which is not intendedfor sale, Iease or rent.
0rners Signature:
E
00
00
00
00
40
40
20
36
RECEIVED BY:-ftilr z ge
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