HomeMy WebLinkAboutPermit Electrical 1998-06-24apwwal,
225 FIFYH STR.EE? A'ototbgd
SPRINGFTELD, OREGON 97 417
fNSPECTT0N REOUEST: 726-376
OFPICE: 726-3759
1. LOCATTON F INSTALLATT
0
JOB DESCRIPTION
S, GF'ELD
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Installation, ALterations
or 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 0n1Y
C. Temporary Services or Feed'
Installation, Alteration o
D
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
d
oaL
Permits are non-transferable and ex
if vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2. COI.ITRAOTOR INSTALL.A ON ONLY
ELectrical Contractor
Address
Ci ty-- Phone
nse Numbe r .Z ZYL (
/0 -/ -?tr
umber Z0'/SC
/0 -/*7F
Signa of E trrcran
Ovners Name
Address 1Lt l0
Yhone ?)b 'Wl1
200 amps''or less
201 amps to 400 amps
-
Over 401- to 600 amps
Over 600 amps or fOOO-v5ITs
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 40.00
$so
$oo
$100
@-
Supervisor Lice
Expiration Date
Constr Contr. N
Expir:ation Date
Ci ty
.00
.00
.00
$130.00
$300.00
$ 40.00
ersr Relocation
$ 3s.00
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
0vners Signature:
s 2.00
E.Miscel}aneous(Service/feedernotinc].uded)
a56ve-
$ 40.00
$ ss.00
$ 80.00
see llBll
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OE ABOVE
57" State Surcharge-:i" la*i"istrat'rve Fee
\OT.NL
s 40.00
s 40.00
$ 20.00
s 36.00
\NI,I
-1
5 w
EIECTRICAL PERHIT APPLICATION
"ra ..City Job Nunber
COHPLETE FEE SCEEDTILE BELOV
Nev Residential-Si ngle or
t dvelling unit.
Items Cost Sum
.ft. or less $ 8s.00
i tional 500
or portion
$ 1s.00
DESCRIPTION
2,Lo/>-4t ln