HomeMy WebLinkAboutPermit Electrical 1993-10-12225 FIFTE SIRBET
SPRINGFTELD, OREGON 97477
INSPECTI0N REQI BSTT 726-3169
oFFICE: 726-3759
LOCATION OP INSTALI^ATION
A3 0-l xJ oervt
STD'IINGFIELO
as submitted hae the
requrre PERHIT APPLTCATION
Job Number Q A/3S?
IJTE FEE SCEEDULE BELOS
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
I tems Cost
i.000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DveIling
Service or Feeder
$ 8s.oo
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
fft6 !6ltnwiog proiect
lqr.r,g arr.i dogs not
ap;troval,
1 r5 +h A
IJGAL DESCRIPTION
I 'l oa )s)) c tSoo
DESCRIPTTON
e.
Permits are non-transferable and, expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COT{T?,ACf,OR TNSTALI,ATION ONI,Y
Electrical
Address +
Contracto , L.Pl,s E/*/
g\q HE €t Sre
city 5 ffP,Phone 74/-Og l/
Supervisor License Ndmber SoztL *S
Expiration Date /o-t-45
constr contr. lluru#af Y9(
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
i
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
Sum
E9
B
L
Expiration Date 6 * f- 7 q*
Signature of ing Electrician
Ovners e
,0
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 600 amps or 1000 volts see I'Brr above
Temporary Services or Feeders
Installation, Alteration or Relocation
.00
.00
.00
.00
c
Address e3)t N.l\LN
Ci ty
^
',& (tc/ pnonet 4) - {4OK
OITNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT *
RECEIVED
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. MiscelLaneous (Service/feeder not included)
-Each installation
Prrmp or irrigation
Sign/0ut1ine Light ing-
Limi ted Energy/Re s ,-/'
Limited Energy/Comm
5 ST,BTOTAL OF ABOVE 20 "--
$40
s40
s20
s36
B
to 5Z State Surcharge I o
r0rAL - a|T
A$nL.rued
f,r