HomeMy WebLinkAboutPermit Electrical 1997-11-12\-n^t'hs
SP :GFIELO
Multi-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 5C0
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular 'Dve1ling'
Sertice or Feeder
$ 85.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Zoni
O
JOB
Peruits are non-transferable and ,.re
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. COI{ItsACTOR INSTALIATTON OI{LT
Electrical Contractor 4ecriric
Address taQg Bgtkei tvL
Ci ty Phone a
Supervisor License Num b". &?/gS
Expiration Date
c.
Constr Contr. Number
Exp iration Date
Signature Supervising EIec trician
D.
Onners Name
Address 3Gt 5
Ci ty 50nl^,, S t)a Phone
\
OgNER INSTALIJTTION
The installation is being made on
property I ovn vhilh is not intended
for saIe, lease or rent.
Ovnerst$ignature:
DATE:
200 amps or less S 50-00
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps"or less $ 40-00
o""i OOo amps or rbooEts see (B* aE66
Branch Circuits ; .-
Nev, Alteration or Extension Per Panel
Sum
.B
One Circuit
Each Additional I s 3s-oo W
Circuit or vith Service
or Feeder Permit
-
S 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
s 40.00
s'40.00
s 20.00
s 36.00
RECEIVED
5 36.
a*,IIAL#
Autfrotzr4
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SPRINGFTEI', OREGON
INSPECTTON REQTIEST:
OFEICE: 726-3759
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