HomeMy WebLinkAboutPermit Electrical 1996-04-16)-
INSPECTfON REQITBSTz 726*3769
OFPTCE: 726-3759
1.OP INSTAI,I,ATION
JOB DESCRIPTTON
LL
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}TIBACTOR TNSTALI,A:TTON ONLY
Electrical Contractor A)T Securlr], Sysrems
Address l-50L Pear1 Street. Sulte B
ci Eusene. OR Phone 541-3t12-1111
Supervisor License Number Rl777.rr.8
Exp iration Date t0l01/96
Constr Contr. Number 59944
Exp iration Date 04/29/96
Signature of Supervising Blectrician
NameDu sttU €=-, U e-tDNl
Derrr
L City Job Nu.uber
COHPLETB FBE SCBEDTII,E BBI.OS
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Sertice or Feeder
$ 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
SPAI]lrCFIELD
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
}r: loi{..{ins,proioct as submittect hrs the
":i;,1-;':;'tt
d)'$ not require specific hnd
225 rI.FT'g STREBf,
SPRINGPTELD, OREGON 97477,LDA_EI,BCTRTCAL PERHTT APPIJCATION
o,t lo
B
Sum
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 anps_
Over 1000 amps/volts
Reconnect Only
$ s0.0c
s 60.00
s100.00
$130.00
s300.00
s 40.00
$ 3s.00
$ 2.00
20.00
40.00
55.00
80.00
ee nBrr a56iil
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 anrps or less
201 anps to 400 amps
-Over 401 to 600 amps
Over 600 anps or 1000-v-6'f[s
$
s
$
s
D. Branch Circuits
Nev, Alteration or Extension Per Panel
ress
citffuD,_9-7,{-tt phone s4l. 7** e1s3
OVNER INSTALI,ATION
The installation ls being made on
property I ovn vhlch is not intended !for sa1e, lease or rent.
Onners Signature:
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/ou tline - Llgh t ing-
Limited Energy/Res 1
Limited Energy/Comm
20.00
s 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Adninistrative Fee
TO|IAL
DATB:I
RECETVED
CITY OF SPP'AI,OPEGO'U
Ovne
5
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