HomeMy WebLinkAboutPermit Electrical 1993-01-08:;I 't rI'l(-:r Ie Lt)
qfr
225 FIFTB STREET
SPRINGFIELD, OREGON 97477
INSPECf,I0N RBQUBSTI 726-3769
oFPICE: 726-3759
1
ELECTRICAL PER}IIT AP
Ci ty Job Nuurber
..*€OHPISTS.'FEE SCEEDUIJ BELOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service fncluded:
I tems Cos t
s Bs.oo
$ 1s.00
s 40.00
Services or Feeders
fnstallation, Alterations or
Relocation:
,r.:.'.,,'.,.
LOCATION OP TNSTALI^ATION/0Lio B9!,tl,,5! 9"'t
ffifid-hsJ&S ao^ I
JOB
I o",,V.l)-b.^
t-,",99
-SI-*
BA.
Sum
<a vrl s
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALT.ATION O}ILY
Electrical Contraetor n Dl-
Address ls-c, ( J)...-.- |
Ci ty Phone
Supervisor License Ndmber AS L J L€
Expiration Date
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reeonnect Only
STETOTAL OP ABOVB
5f State Surcharge
TOTAL
B
s s0.00
$ 60.00
$100.00
$130.00
$300.00
s 40.00
/t2'- I -93
Constr Contr. Number 9.21,/a
Expiration Dale t-t Zri-ji1
Signature of Supervising Electrician
,{ C J r"---^*/
0vners Narie f ,.-., D.L,,-i.(u
Temporary Services or Feeders
Installation, Alteration or Relocation
C
s*t;i=P.*i Nev, Alteration or Extension Per Panel
phone .1Lt I _1oL3 Onb Ci.rcuit S 35.00
Each Additional
Circuit or u,ith Service
or Feeder Permit $ 2.00
200 amps or less $
201 amps to 400 amps
-
S
Over 401 to 600 amps _ S
0ver 600 amps or 1000 volts se
Limited Energy/Res _--ffi-l><
D. Braneh Circuits
E l'tiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting_ S 40.00
OVNER TNSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0nners Signature:
DATE:
RECEIPT T:
40
55
BO
r€
.00
.00
.00
ilB''above
f
Address
Ci ty
c/ct
t-{^-'-4-t
s 20.00
(i<)
RECEIVED BY:
5
S 36.00 s
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
-Hodular DweIIing
Service or Feeder
t
)
)