HomeMy WebLinkAboutPermit Electrical 1996-07-25C'TY OF SPF"VGFIELD, OBF.GO'V
1
225 PTYTE STREET
approt/al.
Zon
TNSPECTTON REQIIEST z 72 'l6btr6*-laguSPRINGFIELDOREGON 974
OFFICE: 726-3759 ALrlnorized
LOCATIONtl to
OFN
INSTALI,Al5 "L
TION
I.^EGAL DESCRIPTIQNt-oz-1s P3 D1o o
JOB SCRIPTION 4 /?[scr
Electrical Contracto +t,
eddress 3 tL So S,r
cirvSprtnTAe/d vhone 74 7 e)?v
Supervisor License Number 373{s
Expiration Date /r,t-- /' 9!'
Constr Contr Number 77d
Expiration Date /6 - / -?,/
Signa ture of SuPervising Electrician
rs Name 51rr,I
eddress /6 ?q N,E
'rh rso ^J
RJ.
Ci ty Br (vD
zoning, and does not require apecific land uee
A
SPE. .iFIELD
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
ModuLar Dwelling
Service or Feeder
Services or Feeders
, InstalIation, Alterations
rTcor Relocation:
200 amps or less I
201 amPs to 400 amps
-
401 amps to 600 amPs
-
601 arnps to L000 amPs-
0ver l-000 amPs/vo1ts
-
Reconnect OnlY
EIJCTRICAL
City Job Nunber
SCffiDI'IJ BBLOV
Nev Residential-Single or
MuIti-FamiIY Per dvelling unit'
Service Included:
Cos t
$ 8s.oo
$ 1s.00
s 40.00
00
00
00
00
00
$2 00
Sum
Permits are non-transferable and expire
ii vork is not started vithin 180 dafs
;i i;;;r""" ot if vork is susPended for
180 days.
?. COMRACTOR INSTALLATION ONLY
5) nl,
B
rl
c
D
E
50
60
100
130
300
$
$
$
$
S
$
00
40
Temoorary Services or Feeders
initaffuiion, Alteration or Relocation
200 amps or less $ 40'00
o;;. +br to 6oG ambs
-
$ Bo'oo
0ver 600 "rp" or-i6OO *Ttt see 'rB" aflE-
Branch Circuits
Nev, Alteration or Extension Per Panel
one
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 3s.oo
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAT
OIINER INSTALLATION
The installation is being made on
prop".tY I ovn vhich is not intended
ior sale , l-ease or ren t '
Ovners Signature:
$ 40.00
$ 40.00
$ 20.00
5
DATE:
RECEIVED
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