HomeMy WebLinkAboutPermit Electrical 1993-02-22crfi w sPR a I
225 FTFTE STFAEf,
SPRINGFIBLD, ORBGON 97477
INSPBCf,I0N RBQUBST. 726-3769
oFPrcE: 726-3759 ) -)"1
TOCATION OT INSTAT.I.ATION
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BIJCIRICAL PBRT{IT APPLICATION
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3 COHPI. TE TBE SCffiDI'I.E BBtOg
Clty Job Nunber Qzo ) /'3
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200 amps or less S
201 amps to 400 amps
-
$
Over 401 to 600 amps _ $
0ver 600 amps or 1000 volts s
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IJGAL DESCRIPIION
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JOB DBSCRIPTIOII lto l(r
A. New Resldential-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 }lanuf 'd Home or
Hodular DveIling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only T
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
Permits are non-transferable and expirelf vork is not started within 180 daysof issuance or if work is suspended for
180 days.
2. COIITRACTOR INSTAIJ.ATION ONLY
Electrical Contractor
Address
city .s ptr1 D.pnoae 7 4b -4bS 0c
Supervisor License Ndmber t i l/.*eJ
ExP iration Date t1)- I -qJ
Constr Contr. Number
Expiration Date 4 -24 -93
Signature of Supervislng Electrician
Owners Name CiArzurrrJLtf JAe+pr;e-
Address ps EOr__al
Ci ty 5tFull Phone -1.+1-ts54<
OIINER INSTAI,I.ATION
The installation is being made on
property I own vhich is not intended
for saIe, Iease or rent.
0vners Signature:
DATB:)
RECETPT
RECEIVED
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/OutIine Lighting_ $
Limited Energy/Res $
Limited Energy/Comm S
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
Ll O-
ee uBtr above
not included)
40.00
40. oo
20.00
40.00
s5.00
80.00
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