HomeMy WebLinkAboutPermit Electrical 1994-07-13SP, TilGFtELD
225 FIFTE STREET
sPRrNcFrELD, oREGoN 97477
The lollorulng prolec.t
zoning, and does nol
INSPECTION REOI EST z 726-37690PFICE: 726-3759 Dare .l
1 LocATroN oF rlrsrAr,lATrtl$otE"d
JOB DESCRIPTTON
Se itnt:lT ltr 4)r.P/rx-
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if work is suspended for
L80 days.
2. COMRACTOR INSTALTATION ONLY
Electrical Contractor
Addres s
PERUTT
Job Number
COHPLETE FBE SCEEDTIIJ BETOTI
A. Nev Residential_-Single orUul-ti-Family per dvelling unit.
Service fncluded:
ftems Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
-
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
as cuUmlilad hE thc
require epociflo hnd
6o
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
u6€
approval.
Sum
$ s0.00
s 60.00
s 100. 00
$130.00
s300.00
s 40.00
citv%
Supervisor License N
P
umber
Expiration Date
Constr Contr . ttun,er B/o Af 7
Expiration Date
Signature of Supervising Electrician
Ovners Name
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Pernit
-
$ 2.00
Miscellaneous (Service/feeder not included)
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less / $ 19.99 4J:
20L amps to 400 amps
-
$ 55.00
Over 600 amps or 1000 vorts see rrB, above
-Each installation
Pump or irrigation $
Sign/Outline Lightitg- $
Liilited Energy/Res
-
$
Address
Ci ty Phone
OIiNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, J-ease or rent.
Ovners Signature:
DATE:
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
E
5
40.00
40.00
20.00
36.00
RECEIVED
3?o
tt/-Lh4"/ -/