HomeMy WebLinkAboutPermit Electrical 1998-04-29zoning, anci
a'pprwd.
doo6 llot rogutfo specntc |?fl{i u$4J
Oete
225 FfFTE SfREEfutnoazEa
SPRTNGEIELD, OREGON 974
INSPECf,ION REQUESTz 726-3769
OFEICE: 726-3759
1 ON
\
Pernits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. ,
2. CONTRACTOR INSTALIATION OI{LI
SPnrt{GFIELCD
MuIti-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
gach additional 5C0
sq. ft or portion
thereof
Each Hanuf'd Eome. or
-Hodular 'Dve1ling'
Service or Feeder
$ 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
%
.B
Sum
aE66
Electrical Contractor
Address taqB Boft^.ui tvL
Gi ty Phone b a I
Supervisor License Number a'71
Exp iration Date
Exp iration Date
Signa ture of Supervising Electrician
Ovners Nale
Address
Ci ty Qnu Phone
ij
OIJNER INSTALIITTION
The installation is being made on
property I ovn vhibh is not intended
for sale, Iease or rent.
OnnersiSignature:
DATE:
200 amps or less
201 amps to 400 amps _401 amps to.600 amPs _501 aafs to 1000 amps-
0ver 1000 amps/volts
Reconnect OnlY
TC
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
-
0ver 401 to 600 amps
over 600 amps or fOOO-i6f[s
00
00
00
00
00
00
50
50
100
130
300
40
s
s
$
s
S
s
s 40.00
$ ss.00
s 80.00
see trBrt
40.00
40.00
20.00
36.00
d)
S
s
s
s
D. Branch Circuits
Nev, Alteration or Extension Per Panel
c
L Hiscellaneous (Service/feeder not included)
onecircuit I S35-oo
Each AdditionalCircuit or vith Service,
or Feeder Permit \ S 2.00
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited EnergY/Res
s5
no\
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRBCETVED B
5
24.q tr
constr contr. u" u", &-f1? Q,