HomeMy WebLinkAboutPermit Electrical 1993-05-10C'TY OF OREGO'U
SPrlINGFIELO
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225 YTYTB STREET )-"K
SPRTNGFIELD, oREGoN 97477.
INSPECTION BEQIIEST: 726-37
26-3759 J'r^' ciOPFICE: 7
Itt
1. LOCATTON OF INSTALI"A,TION.xwsL-tt A) (-
I.AGAL DESCRIPTION
icense Number ' 38C- S
Expiration Date ID )qs
Expiration Date "1
Signatu of Supervising Blectrician
0vners Name
Address -1 \< n)l^a^)
Ci ty Phone
EI^ECTRTCAL PERHIT APPLTCATION
ob Nu.mber
COHPI^ETB PEB SCHEDULE BELOS
?
3
A
JOB DESCRIPTION
_Sr vieo Ci, _Ar
2. COIITRACf,OR TNSTALI^ATTON ONLY
tlectrical Contractor
Address ,!
ciw t^Al^l Pnone ))b.at8t+1
Nev Residential-Single orMuIti-Family per dvelling unit.
Service fncluded:
f tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
the reo f
Each Hanuf,d Home or
-
Hodular DveIIing
Service or Feeder
Services or Feedersfnstallation, Alterationsor Relocation:
s 8s.00
s 1s.00
s 40.00
Sum
<o oo
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended ior180 days.
Yr-
Supervisor L
B
c.
200 amps or
201 amps to
401 amps to
601 amps to
0ver 1000 a
Reconnect 0
Iess I
400 amps
600 amps
1000 amps
mps/voIts
-nry
$ s0.00
$ 60.00
$100.00
s130.00
s300. 00
$ 40.00
OVNER INSTALI..ATTON
The installation is being made onproperty f ovn vhich is not intendedfor sale, Iease or rent.
Oyners Signature:
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00over 401 to 600 amps
-
$ 90.00
Over 600 amps or 1000 vol[s see rrg,
"f,frfD. Branch Circuits
E
ng-00
00
00
36. 00
ooo
Nev, Alteration or Extension per panel
One Circuit S 35.00Each Addi tionalCircuit or vlth ServiceorFeederpermit _- $ 2.00._-
Miscellaneous (Service/feeder not included)-Each installation
Pump or irrigationSign/0utline Lighti
Limi ted Energy/Res
Limi ted Energy/Comm
ST,BTOTAL OP ABOVB5f State Surcharge
TOTAL
40.
40.
20.
s
s
s
s
DATE:
SrRECEIITED
5
1-l O <a<-)f t^40()
Constr Contr. Number '<9