HomeMy WebLinkAboutPermit Electrical 1995-07-27Zon UDD
225 FITTE SIREET
SPRTNGFTELD, OREGON 97
INSPECTION REQI.IEST: 7
OFFICE: 726-3759
1 OF
DESCRIPTION
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if uork is suspended for
LBO days.
2. CONTRACTOR INSTALI-ATION OI{LY
Electrical Contrac r., Ki4>A W
Address
Ci s"/n enone 722 -23OJ---7V--
Supervisor License Number 2b- r
EI,ECTKTCAI PEru{TT APPLICATION
Job Number
3. COHPIJTE FEE SCffiDTII.E BELOV ?
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
Modular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less X
201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
SPF|II ELO
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
15 3 +i t t 1r ziln g, projecl as su.bm,tted. has the f ol loviin g
,. . .,,,. ,ri dces not require spe,cifiC tanJu;;""'
B
A
C
Sum
.<E)a'a./l_J.
.00
.00
.oo
see ttBtt aSove
s s0.00
s 60.00
$100.00
s130.00
$300.00s 40.00
Expiration Date f)'
Constr Contr. Number
Expiration Date
Signat of ing Electrician
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-voITs
$40sss
SBo
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscelfaneous (Service/feeder not' included)
OVNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
rs Name
Address
Ci ty W vnoneT&-/? 32
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limited Energy/Res
-
$
Limi ted Energy,/Comm S
40.0q
40. 00
20.00
36.00
tu
o
RECEIVED
5 2 F
I