HomeMy WebLinkAboutPermit Electrical 1996-06-13225 FTYTE STREBf,
api)ioval.
,--:-- / blLzonir]€- L u/
MA
SPRINGFIELD, OREGON 97477, :- l0.t1.Ct t ,t
INSPECf,ION REQT BST: 726-3769v "r -l-i-rz"
zoning, and does not require epecific land use
SPlllI'IGFIELEt
BLECTRTCAL PERHIT
City Job Nunber
OFPICE: 726-3759 Autl,.odzed Stgnatu !'o
1. LOCATION OP INSTALI"ATI
JOB DESCRIPIION
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY B
Electrical ContractorADT Security Systems
Address 1501 pearl Street. Suire B
Ci Eusene. OR Phone 5Lt-1L?-1311
Supervisor License Number L777 JLE
Exp iration Date rc/Ot/96
c
Constr Contr. Number 59944
Exp iration Date 04/29/97
Signature of Supervising Electrician
\.- .zt l-l
COHPLETE FBE SCEEDUIJ BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additionat 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
3
A
boffiL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect Only
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000EEs
Sum
s 40.00
s ss.00
$ 80.00
see rrBn a5ove
$ s0.00
s 60.00
$100. 00
$ 130. 00
s300.00
s 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
@
Address l37S \1au-t-*t J2ilrl \it-KE€T
cit@Phone s4l, /4/.Jtbo
OgNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ocners Signature:
DATE:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
D. Branch Circuits
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative !'ee
TOTAL
sN
-Each installation
Pump or irrigation _ S
Sign/Outline Lighting S
l,imi ted Energy/Res r $
Limited Energy/Comm S
40.00
40.00
20.00
36.00
20-00
?o-oo
.50
1
CITY OF OFEGO'U
RECETVED B 2t.0
/ LL3T*u-