HomeMy WebLinkAboutPermit Electrical 1997-11-03SPflINGFTeLO
mL
225 .PIYIq, STREET
SPRINGPIELD, oREGoN 97
D{SPECTION REQI.IEST: 7
0FFICE: 726-3159
LEGAL CRI oo
J OB DESCRIPTION
Lo l<_
re non-transferable and ex
s not started vlthld 180 d s
ce or lf vork is susPended for
ELETTRTCAL PER.}IIT A}PLICATION
Ci ty Job lluraber q7fi (
Ie orlIing unit.
Items Cost
$ Bs.oo
$ 15.00
B
C.
MDULESC BELOV
1 I'CATTON OP
Perrui ts a
lf vork I'of lssuah
'180 days.
I a1-Sing
per dve
uded:
ess
500
on
orI
naIorti
Supervisor Llcen.se Number 3 od--s
Expiration Date I o-t-q{
Constr Contr. Number
Expl'ratlon Date t-AY
Slgna reo pervis.ing Elec t ric i an
.0rne
Address
Cl ty 'Phone
2. CONTRACf,OR TNSTAII^ATION ONLY
Add ress
Ci ty Phone ? 4 -1- ct(ll
Temporary Services or'Feeders
Insiallation, Alteration or Relocation
Each Hanuf'd Home or
Hodular DvelIing
Servlce or Feeder
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs '
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amPs/volts --Reconnect onIY
SUBTOTAL OP..ABOVE
5Z'state Surcharge
TOTAL
s 40.00
00
00
130. 00
$300.00
$ 40.00
00
00
00
LE
Sum
40e
Electricar contrac to'-Lt(' floob& fu'f'
00
50.
60.
100.
s
s
s
$
OIINER INSTALT,ATION
The.installatloh ls belrig made on
property.I ovn.vhich ls not intended
for sal.e, 'lease of rent.
200 amps or less I
201 amps tq 400 amPs
-
Over 401 to 600 amPs
over 600 amps or 10001fr-rfs
D.. Branch Cir'cui ts
Nev, Alteratibn ol Extension Per Panel
Each Addi tional'Circuit or vlth Ser.vice.
E. Hiscellaneous (Service/feeder not included)
-Each lnstallation
Puinlr or. lrrigation $ n0.99
slgnloutltn!-t igrrtine:--l $ 19.99 --'---
.Liriited Enerrt/9oq,p -' ': $ 36.00 :
$40
$ss
$80
see rrgr "ffi
4o??et.U),
-
DATE:
RECEIVED
5
+3ob Admin E<-
I Ir
3
A.
t
Nev
Hu1
COHPLETE
sq.
add
1Res
FEE
dent
1
ftir
or
Servi
t
Ovners Signatu.re: