HomeMy WebLinkAboutPermit Electrical 2002-03-11LEG ON
The following project as submitted haszoning, and
aPPr@lO J"tr require specific
Zoning
JOB DE
A4rL t*+rl@; - /r5hI
SCRIPTION Da
uumOnZEoSrgrr e
Permits are non-transferable and expire
if work is not started within i80 days
of issuance of if work is suspended for
180 days.
::. -
2. CONTRACTOR INSTALLATION ONLY
225 FIFTH STREET
SPzuNGFIELD, OREGON 97{77
TNSPECTION REQUEST'. -t 26 -31 69
Electrical Contractor
Address
'ltone
Supervisor License Nulnber
-07 l0 sq,or less
I 500
ELI-
Citv Job
eor
Cost
$ 106.00
$ 19.00
t,l,
n\,1
1i
I\
:$s'ad €lci
B. Senices or Feeders
Relocittion
200 amps or less
201 amps to 400
thereof
Each Manufd Home or
Modular Drvelling
Service or Feeder
401 amps to
Over 600
"B" above
amps or
&
o -i -ov
sb&
O\YNER INSTALLATION
The installation is being nrade on
propert]" I olvn rvhich is not intendcd
lor srle. lease or rent.
D. Branch C
Nev
One
-26oJ Each
or Feeder
I
ServiceJ- $:.oo
E. Nliscellaneous (Service/feeder not included)
-Each instellation
Punrp or irrigation
Sign/Outline Lighting
Linrited EnergviRes
Linited EnergvlComm
{. SUBTOTALOFABOVE
7%o State Surcharge
87o Administrative Fee
$50.00
$50.00
$2s.00
$15.00
I\Iinimum Electric Permit Inspection Fce is S{5.00 * Surch:rrges
41
TOTAL 56*
OFFICE: 726-3i59
3. CO}PLETE FEE SCFIEDI,LE BELO\\'
1. LOCATION OF INSTALLATION
t 8e. z rle,*G Arl€
Sum
Expiration
Constr Contr. Numb..f J=/-(l.$--
Expiration out" //'- /O *QZ
,
Signuture of Supervising Electrician
.\
Orvners Name e- 8t"t.:
aoorcs.s /8 6 2 Pe^., l[
601 amps
Orrer
or Fceders
or Relocation
or less r,
to 400 amps
to 600 arnps
00i|/3
amps
Over 401
Oryners Signature: