HomeMy WebLinkAboutPermit Electrical 1993-06-22C'TY OF SPF"I'GFIELD, OREGO'U
SPFINGFIELD
s subfi
ooulre
225 FIFTE SITBET
SPRINGPIEID, OREGON 97477
INSPBCTION REOUEST2 726-3769
OPPICB: 726-3759 vll>.
Address b
EI.BCTRICAL PERIIIT APPLICATION
city Job Ntubet q30b7 7
COHPI,ETB FEB SCffiDTILE BELOS
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONI?ACTOR INSTALI,ATION ONLY
Electrical Contrac rct @,
Naress 96/-?5 AaS;S/aP zil
ci vnone 717467
supervisor License Number S17 '8
Expiration Date /Dzb5________,--
1 LOCATION OP
LEGAL DESCRIPTION
JOB DBSCRIPTION
7
Constr Con tr. Number 2
Exp iration Date
Signa ture of Supervising Blectrician
Owners Name
A Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less v"'
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
c
D. Branch Circuits
Nev, Alteration or Extension Per Panel
DDL
hv 3.th@
+
S
One Circui t
Each Additional
Circuit or vith
or Feeder Permit
E
5. STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
c $r
Serv i ce
<'/r\ CO
/lJt
s.oo g
2.oo /12:9
not included)
40. 00
40. 00
20. 00
Zo.oo3,fr
s s0.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
Sum
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 4bt to 600 ambs
-
S 80.00
Over 600 amps or 1b00 voTts see rrBrr aE6tf
x
O!'NER INSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0mers Signature:
DATE:
s-
Hiscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/outtine Lighting- $
r,iili ted Energy/Res
-
S
$
RBCEIVBD
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