HomeMy WebLinkAboutPermit Electrical 1995-07-1417o
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Permits are non-transferable and expireif vork is not started within tAO aiysof issuance or if vork is suspented for
180 days.
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zoning, and
approl,al.
225 FIFTE STREET
SPRTNGPTELD, 0REGON 97
INSPECII0N REQUEST: 7
OFFICE: 726-3759
1. LOCATTON OF INSTALLATION
TEGAL DESCRIPTION
JOB DESCRIPTION
Address
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
2. COI\ITRACTOR INSTALLATTON ONLY B
Electrical Con ftaetor €L,b €Ae:L€Le:ane/(
Address l?c' n,/faux'a{
Ci ty Phone
Supervisor License Number
Expiration Date 11' '; (.
Constr Contr. Number /'. /'/,'<.
Expiration Da le /t' -'4-
Signature of Supervising Electrician
Ovners Name
Neu Residential-Single orMuIti-Family per dvelling unit.
Service Included:
I tems Cos t
L000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home or
-
Modular Dvelling
Service or Feeder
s 8s.00
s 15.00
$ 40.00
Services or FeedersInstallation, Alterations
or Relocation:
iess I
00 amps
00 amps
000 amps-
s/vo1ts
-v
as submltted has therequire specific land
spRrrr:rreio
BLECTRICAL PERHTT
City Job Nunber
SCEEDT.II,E BELOIT
DSe
0 amps or 1
1 amps to 4
L amps to 6
1 amps to 1
er 1000 amp
connect 0n1
A
Sum
ee ItBtt a6ove
w.Oe
C Temporary Services or Feeders
Installation, Alteration or Relocation
s s0.00
$ 60.00
s 100. 00
$130. 00
s300.00
s 40.00
20
20
40
60
0v
Re
40.00
55.00
80.00
$
$
s
s
40.00
40.00
20.00
36.00
al *a
'?-*,v
8'2e
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
0ver 600 amps or 1000 voTls
Ci ty f?Z " phone 277ffi7
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
S 2.00
Miscellaneous (Service/feeder not included)E
-Each installation
Pump or irrigation $
signzoutline Lighting-- $
t imi ted Energy/Res $
Limi ted Energy/Comm $
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTALRECEIVED
proJect
not