HomeMy WebLinkAboutPermit Electrical 1998-05-28OREGO'VC'TY OF SPR
, )proval.
Authortsed
1.OF ALLATION
IJGAL DESCRTPTION
rf 6A 3la \o O
JOB DESCRIPTION /
Efectrical Contrac tor 5sn i t ro I Se CUT it v
Address P.O. Box 21009
City Euqene Phone 46 1 - 5678
Supervisor License Number
Constr Con
Expiration
tr. Number 65 1 49
rFi
Signa ture of
oB
Ovners Nam e r <gJ
eddress (o N ,JkJ.\
cit ,non4_4)-3459
O\TNER IN
Nev Residential-Single or
Mutti-FamilY Per dvelling unit'
Service Included:
SPlrT}rGFIELO
BLECTRICAL PERI{IT APPLICATION
Ci ty Job Number b
FEB SCMDULE BELOS
Items Cos t
$ 8s.00
-! u - {nltnuiino oroiact as cubmfied hsq thg tollonfling
,., *rr,- i6nu'not requlre speotflc tand usa
225 FTFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOI]EST:
OFFICE z 126-3759
974 tn,
A
B
D
E
Sum
Permits are non-transferabl-e and expire
if vork is not started vithin 1'80 days
oi i"tu"nce or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONI,Y
1000 sq.ft. or }ess
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-401 arnps to 600 amPs
-
601- amps to 1000 amPS-
Over 1000 amPs/volts
-
Reconnect 0n1Y
$ 1s.00
$ 40.00
$ s0.00
s 60.00
$ 100. 00
s130.00
$300.00
$ 40.0c
Expiration Date Temporary Services or Feeders
lnstallaiion, Alteration or Relocation
200 amps or ]ess
201 amps to 400 amPs
-Over 401 to 600 amPs
-
Over 600 amPs or 1000 volts
40.00
55. 00
80. 00
OF aEove
$
D
)
e ilBr
The ins tallat ion is bei'ng made on
property I ovn vhich is not intended
for sale. lease or rent'
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
Osners Signature:
s 40.00
s 40.00
s 20.00
s 36.00 f,.:m
5
DATE: 6->€- 1
RECEIVED B
.)
-Each ins tal-lation
Pump or irrigation
-
Sj.gnl0ut1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm I