Loading...
HomeMy WebLinkAboutPermit Electrical 1997-11-10SPT ,FiEL., ELECTRTCAI PERHIT APPLICATION cl7 lboa-, BELOV or tti.-FamilY Per dvelling un it. Cos t s Bs.oo $ 1s.00 $ 40.00 Service Included: I tems s 3s.00 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home' or Modular Dvelling Sertice or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amPs _- 401 amPs to 600 amPs --601 amPs to 1000 ?mPs_- over 1b00 amPs/vo1ts --Reconnect 0n1Y TemoorarY Services or Feeders -i;lilii;ii"", eii'ration or Rerocation Zonir la.r 225 SPRINGFIELD, OREGON 97 477 INSPE(f,ION PGQT EST:. 726-3769 OFFICE: 726-3759 THIS PERMIT AUTHORIZED COMMENCED 1. LOCATION OF INSTALLATION 4 V0)-Sum2 s, HSfirif vork of issu are non-transferable and exPire i" not started vithin 1Bo daYs "n"" or- if vork is susPended for Address Ovners Name Address Ci tY OIINER DATE: phone tl 4t -AA3ba t0-l -q8 B. c D Sg-,cc-'$ s0.00 s 60.00 s100.00 s130.00 $300.00 s 40.00 Ci tY Supervisor '""n"" Number ltrgbS Expiration Date Constr Contr' Number ,84q -t-q8 200 amps''or Iess $ 40'00 ;6i il;; ;; tqq ?it: t ii:33 il:: :3b Ho:o:"T83oar" :':';il a566 Branch Circuits ' " Nev, Alteration or Extension Per Panel Expiration Date Signature of Supervising Electrician Phone - +bA 4 one Circuit i'""rr"eaii I i ontr Circuit or vith Servrce or Feeder Permit .- Miscellaneous ( Service/ feed -Each installation PumP or irrigation iiniuoutrine Lightittg- t iilited EnergY/Res -- Limited EnergY/Comm s 2.00 er not included) The installation is being made on Droperty I ovn "ftict' is iot intended ioi'".rL, lease or rent' Owners;, Signature: E. s 40.00 s 40.00 $ 20.00 s 36.00 SUBTOTAL OF ABOVE 52 State Surcharge gZ ga*inistrative Fee TOTAT RBCEIVED tq? 5 5e .oo A, 5o .1 . s'o 5*' oo ill 180 days. 2. COI{IBACTOR INSTALI,ATION ONLY Erectricar contrac."t C tiS €t'-ontnu ',r1.fn-''