HomeMy WebLinkAboutPermit Electrical 1991-08-27225 FIFTE STRBET
SPRTNGFTELD, OREGoN 97 477
INSPB(ITI0N REQUEST2 726-3769
OFFICE: 726-3759
1
Ci ty Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof
Each Hanuf'd Home or
-Modular DweIling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations or
Relocat ion :
LOCATION,///J-
nosa
City . T*yrttrr4,^{Phone )JC - 7Ja3
Supervisor License Ntimber JC ," ', <
Expiration Date
A
:;t'rilr{(;l.rr:Lu
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
BIJCTRICAL PERfiTT APPLICATION
0t!
?t too /
IJGAL DESCRIPTION
JOB DESCRIPTTON
Permits are non-transferable and expireif vork is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI"ATION ONLY
Electrical Contractor
Address /0L7
Sum
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
s s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
*fu*ro
7
(c Temporary Services or FeedersInstallatlon, Alteration or RelocationConstr Contr. Number
I
Expiration Date
Signa f Supervising EIec trician
Owners Name
Address
Ci ty e
OIINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
BEGEITT
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
amps or less $ 40.00
amps to 400 amps $ 55.00
0ver 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rtBtl
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit .5
$ 3s.00
8 lq43?
E
SIIBTOTAL OF ABOVB
5tr State Surcharge
TOTAL
a6oTE-
S 2. oo /O,r:o
6o 4O
OC
Hiscellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation $ 40-00
Sign/Out1ine Lighting- $ 40.00
Limited EnergY/Res
-
S 20.00
5
?J,CEIVED BY:
-27 o
6 7'o o
3. COHPI.ETB FBE SCEEDT'LE BELOV
New Residential-Single or
Hulti-Family per dvelling unit.
Serviee Included:
Items Cost\