HomeMy WebLinkAboutPermit Electrical 1996-01-30.:.
SPRINGPTELD, OREGoN 97477,
INsPEcf,roN REQUESTz 726-37q9
oFFrcE: 726-3759 i-'
ELBCTRICAL PERITIT APPLICETION
Ci ty Job Nu.uber ?oo /22
BELOV
A. Nev Residential-Single or
MuIti-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
s 8s.00
s 1s.00
s 40.00
B. Services or Feeders
fnstallation, Alterations
or Relocation:
225 PIFIE STREEf,
The following orc{ect as submrtted has th
approval.
EPRItllGFIELD
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
-70 b
Airthonzod
JOB DESCRIPTTON
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Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COTYTRACTOR TNSTAIJ,ATION ONLY
Electrical Contractor ADT Securit, Sr.t"r"
Address 1501 Pearl Street. Suite B
ci Eugene, OR Phone 54bjt+2-1111
Supervisor License Number Rl777JLE
Exp iration Date 10/01/96
constr contr. Number 59944
Exp iration Date 04/Zg/96
Signature of Supervising Electrician
s nane{rfue- Gtx<
ress
ci 0e PhoneStll, Zal,ltlVo
OSNER INSTALIATTON
The installation is being made on
property I ovn vhich is not intended I
for sale, Iease or rent.
0cners Signature:
DATE:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
0ver 1000 anps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 anps
-
S 55.00
0ver 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voEs see nB" a6ifiiil
Sum
s s0.00
s 60.00
$100.00
s130.00
s300.00
s 40.00
c
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Outline Lighting- SLimited Energy/Res -F $Limited Energy/Comm $
40.00
40.00
20.00
35.00
20.00
5 20. 00
00I
CITY OF SPF'A'.OFEGO'V
0vn
RECETVED ?1 -6 n
1. I.OCATION OP INSTALI^ATION
11 / t/; 'oit ri.Es<r -DP , ,,e
LEGAL DESCRTPTTON- < .z(lz_ ,tr{ y
.60