HomeMy WebLinkAboutPermit Electrical 1996-01-26CITY OF SPF"VGFIELD, OFEGO'V
SP'I. FIELD
The following Prcjed as eu
zoning, and does not raqul
approval.
225 FTrrE Sl3.EEf,
SPRTNGPIEI,D
INSPBCTION REOIIESTT 726-3
oREGON 97477 76s,.r.--!-2b-r3A city
OPBICE: 726-3759
Autlrr-,riz€o Slgnatu
. IOCATION OP
,ir-.1-D--9.*-,EI,ECIRICAL PBRI{IT APPIJCATION
Job Nunbe , 4 trO tAZonir
r]ffi D{{ryPrTory orc650
A
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
B. Services or FeedersInstallation, Alterationsor Relocation:
BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
I tems Cos t
$ 8s.00
s 1s.00
$ 40.00
s s0.00
s 60.00
$100. 00
$130.00
s300.00
$ 40.00
Sum
Exp
JOB DESCRIPTION
ALARM SYSTEM
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,A:TION ONLY
Electrical ContractorAnT TTY
Address I50I pearl str.et. s,rlt j
Ci ty Eueene. 97402 Phone_G!&li.!j
Supervisor License Number R_l777 .TT.E
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 anps-0ver 1000 amps/volts
-Reconnect Only
Pump or irrigation g
lign/Outline Lightins- $Limited Energy/Re $Limi ted Energy/Comm S
iration Date lo-r -q6
Constr Contr. Number 5gg4tt
Expiration Date L/?e
Signature
0vners
Address
Ci &
Temporary Services or FeedersInstallation, Alteration or Relocation
D. Branch Circuits
200 amps or less $ 4O.OO201 amps to 400 amps
-
S 55.00over 401 to 600 amps
-
$ go.oo
0ver 600 amps or 1000E'fts see nBr affiE
c
tf
OIJNER TNSTALIATION
The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
Orners Signature:
Nev, Alteration or Extension per panel
One Circuit $ 35.00Each AdditionalCircuit or vith Serviceor Feeder Permit _ $ 2.OO
Miscellaneous (Service/feeder not included)
-Each installation
G
7
E
40.00
40.00
20.00
36.00
DATE
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALBRECEIVED
Tc,t,