HomeMy WebLinkAboutPermit Electrical 1998-10-30CITY OF OREGOA'
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225 FIFTE STREET
SPPJNGFTELD, oREGoN 97477 . -;irZ€d
INSPECf,ION REQIEST: 726-3769
OFFICE: 726-3759
1.OF
I
JOB ON
Supervisor Lice
Expiration Date
Constr Con tr. Number Zo-2t1 C-
Expiration Date a 6
Sigtratur e f Supervising Electrician
Ovners N
A
ELECTRTCAL PERHIT
Number
3. COI{PI,ETE FBE SCEEDTILE BELOV
Nev Residential-Single or
Multi-Family per dvel)-ing unit.
Service Included:Items Cost
1000 sq.ft. or less
nach additional 500
sq. ft or portion
$ 8s.00
$ 1s.00
$ 40.00
C
Sum
Pe
if
of
18
mr
0
2.
Elec
Addr
Ci ty
1
vo
is
non
not
or
are
is
ceuat'l
s
k
t
r
s
days.
CONTRACTOR
,trical Cont/)
'ess s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
eJJ( D"A+
00
o0
00
B" a66TE-
40.
55.
80.
et'
v
-Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $
201 amps to 400 amps
-
S
over 4b1 to 600 amps
-
$
Over 600 amps or 1000-i'oT[s se
Addres
cir
OVNER
The installation is being made
property I ovn vhich is not in
for sale, Iease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension
rvlce
G.rvice/ f eeder
bgn
10n
gh t ing_
Limi ted ergylRes
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
q-4^
pnon"14
Per Pane1
35.00
.
2.00
not included)
$
$
s 40.00
$ 40.00
s 20.00
$ 36.00
RECEIVED B
5 oo
erable
Modular Dvelling
Service or Feeder
Feeders
terations
201 amps amps _
401_amps
601 amps
0ver 1000
Reconnec t
04R
_L
3