HomeMy WebLinkAboutPermit Electrical 1995-04-26OREGO'UC,'TY OF
Ci ty
Supervisor License Number C
Expiration Date ZZ q
Constr Contr. Number 3q7f
Phone 7 Y1-O'10{
-5
SPF|II S-IELE'
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t 4
200 amps or less I
20L amps to 400 amPS
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect 0n1Y
lH?,'"#T %g:t* ?LJii*X3:# il'# J:[.-,, n
LDE225 FTYIE STREET
SPRINGFIELD, OREGON 97Qfr7.
INSPECf,ION REQIIEST:
oFPICE: 726-3759
1 OF
EIA TRTCAL PERUIT APPLICATION
Ci ty Job Nunber
M
FEE SCMDULE BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
s 8s.00
s 1s.00
s 40.00
-LI-t
)s,
I,EGAI DESCRTPTION o
JOB L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dwelling
SerVice or Feeder
A-u,,
180 days.
2. COMRACTOR INSTALI.ATTON ONLY B. Services or Feeders
El-ectrical Contractor C
(^, I .Installation, Alterations
Z\e"g-vL. (or Reloca t i on :
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
Address $x zLct $ s0.00
s 60.00
$100.00
$130. 00
$300.00s 40.00
.00
.00
.00
llBlr
Sum
above
c.
ItA-zv.(f"rnporaty -.S
inst'alta t it
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
0ver 600 amps or 1000 voft
ervices or Feeders
n, Alteration or Relocation
Expiration Date LL
Si of Supervising trician
Ovners Name Du'r$t't/e A"^1"vSoL
Address O So^dr- .t0W4-
Ci ty Phone 7 af
OSNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orrners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
3_m
E. Miscellaneous (Service/feeder not included)
-Each instal-lation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res
Limi ted Ener[y/Comm
SUBTOTAL OT ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAT
d s40
$ss
$80s see
$ 3s.00
$ 2.00
$
$
$
$
40.00
40.00
20.00
36.00
o55
RECEI\rED B
(