HomeMy WebLinkAboutPermit Electrical 1995-06-15CITY OF SPR OREGON
225 FTruE STREET
The following project
zon/ng, and doesnot following
SPRINGFTEI^D OREGON
approval.
97477
ae submitted has the
require specific land
INSPECTI0N REQUESTz 726-30FPICE: 726-3759 Dato
SPT 'GFIELO
IJSE ELECTRICAL PERHIT APPLI,CATION
t
city Job Nunber 1S 01a1-4t
1 OP
Mu1 t i-Fami 1y
SCBEDI'LE BELOV
ial-Single orper dve1I ing uni t.I^EGAL Service Included:)-
addr"""35 S t\)o ifrcf 6 rt-q4
Ci ty E-.1c--<--phone 4 83 7o1t
Supervisor License Number 3E /v-f
Expi ration Date C <-Tqs
constr conrr. Number 1o3 6? -?
Expiration Date t+.t 7 4
Signature of Electrician
Ovners Name
Address
Ci ty Phone
OgNER INSTALLATION
Items Cost
1000 sq.ft. or less S B5.OOEach additional 500sq. ft or portion
thereof
Each Hanufrd Home. or
-
Modular Dvelling
Service or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less I
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect Only
D. Branch Circuits
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less g 4O.OO201 amps to 400 amps
-
S 55.00over 401 to 600 amps
-
$ 8O.OOOver 60O amps or 1000-vofts see uBu affi
Sum
DESCRTPTION T
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days.
2. COI{TRACTOR INSTALI,ATTON OT.ILY
Erectrica , Ak?1forB., v- 1?*G'"> '
B.
s 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
f-'t-JLJ C,D
?,
The installation is being made onproperty f ovn vhich is not intendedfor saIe, lease or rent.
Nev, Alteration or Extension per panel
oneCircuit \ S35.00Each AdditionalCircuit or vith Service-z x-/tor Feeder permi t 6 S 2.oo l2_" -
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighti.g-
Limited Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Omers Signature:
E
5
$ 40.00
s 40.00
s 20.00
s 36.00
DATE:
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BRBCEIYED
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