HomeMy WebLinkAboutPermit Electrical 1996-11-15CITY
225 TIYTH STRXET
The tollowing projoct as submittad ha: tho
zoning, and does riot roquire specific i*nd u
approval.
Zonino
SPFtt:TGFIELD
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPS _
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect Only
200
207
0ver
Over
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
Ln d EtEsrRrcAL PERHTT APPLT.ATT,N
Ci ty Job Nunber
Nev Residential-Single or
Multi-Family per dvelIi.ng unit
Service Included:
ftems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Cos t
$ 8s.00
s 1s.00
$ 40.00
B Services or Feeders
InstaIlation, Alterations
or Relocation:
SPRfNGFIELD, OREGON 97477 t t - r-- - /i/p
INSPECTION REQIIEST: 726-37691!-'!''{Y,,
OFFICE: 726-3759 . : - -'r.-:' ,. : -r, IJ"3:.M
-COtrPIETr?ES.SCEEDUI,E BELOIJ
1. LOCATION ALI^ATION
IJGAI, DBSCRIPTION
J OB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTA].I,ATTON ONLY
A
Electrical Cont ractorSonitro
I
Address P.O. Box 2 1 009
Ci ty Eu ene Phone 461 -5 678
Supervisor License Number ET
Expiration Date /0- /-qq
Constr Contr.Number 65 1 49
Exp iration Date 6-28-96
Signa ture of Su Electrician
Add res s ,ln e
city Phone 72b-76O()
OITNER INSTALLATION
The lnstallation is being made on
property I ovn vhich is not intended
for sale. lease or rent'
Owners Signature:
DATE:
Temporary Services or Feeders
fnstallation, Alteration or Relocation
I Securit v
s 100.
s130.
s300.
s 40.
Sum
@
S
s
50
60
00
00
00
00
00
00
C
E
amps or less $ 40.00
"rps to 400 amps S 55.00
+ot to 600 amps
-
$ Bo.0o
600 amps or lbOO-TofTs see rrB, a6otE-
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2.00
Miscellaneous (Service/feeder not j'ncluded)
-Each installation
Pump or irrigation $
sign/outli.ne Light ing- $
t iilited Energy/Res
-
$
40. 00
40.00
20.00
36 .00
5 360D
tE0---7As-
3Ka6RECETWD
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ovners rt^ . five Sy'ar Ane/,'dahbn