HomeMy WebLinkAboutPermit Electrical 2001-06-04C;ffY AF OREGON
Mar-L4-Ot 1O:34A
D EVELO P ME NT S ER VIC E S OEPA RruENT
SPF.tt{GFIELtf
1000 sq. ft, or less
Each addittonal 500
sq. ft or portion
thereof
Each Hanuf,d Hone or
-Hodular Duelling
Service or Feeder
Services or Ieedersfnstallat ion, Alterarionsor Relocation:
P -02
2?5 FIFTH STRFET
SPRINGFIhLD, OR 97477
(541) 726-3753
FAX 64t) /26-j689]-he lollowing Proiect AS submitted has th€ tollowing
zoning. and does not require specific land use
225 PTYIE STREET
SPRTNGEIBLD, oREGoN
TNSPECTION REQIEST:
0FPICE: 726-3?59
1 I,oCATTO!{ OP
I Llo
^gYtyl
tzo-*?E[s
L:t>P EIJCIR CAT PERXTT APPLICAUON
ty Job Nunber !1 -oOssS-Ol
PEE SCEEDIIIJ BELOg
'ate
rNSrAlIgFf Eli? i sn at u re
5tL sr Nev Resldential-Single or
Hulri-PamiIy per dvelling unlt.
Service Includedl
I terns Cos t
A
IJGAL DESCRIPTIONi?D3353t o S?so Sum
JOB DBSCRT
*,Nl)(1 lZ<.r,t r r\HTION s 8s.00
s 1s.00
s 40.00
s 50.00
s 60.00
s100.00
$ 130. 0o
s300.00
$ 40.00
s 3s .00
s 2.oo
3s
Permits are non-transferable and expireif vork is not started ulthln 180 daysof issuance or if uork ls suspended for
180 days.
2. COMRACTOR INSTAI.I..ATION OIITY B
Supervisor Lic.en.se Num
Electrical Contrac!or
eddressJ-?5 lt\ 2 fue
Ci ty P non"3!3_IiQl
uer IA.SFLS
Expiration Date
Const,r Contr. Number
Expiration Dare Cot\csllof Supervising Electrlcian
s Nane -Tho,*r*= C--fgSs S
Address lllo -5+L J
city SPFi\ Phone, 7q6. 6Stf
OYNER INSTALI.ATION
The installation is being nade on
property I oun vhich is not intended
for saIe, Iease or rer)t.
Onners Signature:
DAIE:
200 amps or less
201 amps to 400 arops
-401 anps to 600 amps
-601 aops to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 anps or less $ 40.00
201 anps to 400 arps
-
S 55.00
0ver 401 to 600 amps
-
S 80.00
over 600 atrps or 1000 voTis see oB, aSove
D. Branch Clrcuits
Nev, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circui t or vi th Servic.eor Feeder Permi t L
E Hiseellaneous (Servicc/feeder not inqluded)
-Each lnstalfation
Punp or irrigation
Sign/0utline Lighting
Limited Energy/Res
-Limi ted Energylcomrn
SUBTOTAL OP ABOVE
7;q" State Surcharge
32 Adulnistratlve Fee
TOTAL
c(
5
s 40.00
s 40.00
s 20.00
S 36.00
31
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RECEIVED {-rr-