HomeMy WebLinkAboutPermit Electrical 2001-03-15LEGAI DESCRTPTION/f oZ Abzu Pa ryoa
JOB DESCRIPTION
4 Lo"ad"- Crtr< o Fr- b-r----__-
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
J
.
"TNGFIELO
i-000 sq. f t. or less
Each additional 500
sq. ft or portion
t hereo f
Each Manuf 'd liome or
-
Modular Dvelling
SerVice or Feeder
201 amps to 400 amps __401 amps to 600 amps _60L amps to 1000 amps_
0ver L000 amps/voIts
Reconnect OnIy
D. Branch Circuits
5. SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
Mul-ti-Family per dvelling unir.
Service Included:
I tems
The following project as submitted has the rol,owing
zoning and does not require specific land use
LICATION
tr6 e3tr-o/
B
Cos t
s 85.00
s 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
$130.00
s3oo.0o
s 40.00
Sum
t@:Add res s DX
Ci ty phone 9 7 5
Supervisor License Number ,zf 7 F S
Expiration Date z- o
Constr Contr. Number
Expiration Date /0- Zo - 0Z
Si ur of Supervising EIe r]'ClEIN
0vners Name
Address \4
Ci ty Phone </4-
OIINER INSTALLATION
The installation is being made on
property I own r,'hich is not intended
for saIe, lease or rent'
, ,.:, 0vners Signa ture:
IUUL 5 I
YlJ:tMV
RECEIPT *:
RECEIVED BY:
Temporary Services or Feeders
Installation, Alteration or Refocation
C
20
2A
0v
0v
0 amps"or less $ 40.00
er 4b1 to 6oo amps
-
$ Bo.oo
er 600 amps or 1000 voTts see "8" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
S."h Aaaitional
Circuit or vith Serviceoi r".a"r Permit --U $ 2'oo la'-
Miscelfaneous (Service/feeder not included)E
-Each installation
Pump or irrigation $
SignZOutline Lighting.- q
l,iili ted EnergY/Res - $
40.00
40.00
20.00
36.00
-sanfi--ffigy'''*'
i 43. :\o
225 FTETE STREET
SPRTNGFTELD, oREGoN 97477
fNSPECTf0N REQLIEST: 7M+6oFFICE: 726-3759
Zoning
Authorized Signature
Services or Feeders
InstalIation, Alterations
or Relocation:
ELECIRICAI PERHTT
FEE SCEEDTiLE BELOV #H
1.
A.
F"{, ,.- 4C
1{ *,c "E
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