HomeMy WebLinkAboutPermit Electrical 2002-02-15STREET252
Joh
A. Neu' Residcntiirl-Single or
-oL
^T(, -AL PERMIT APPLICATION
SPRINGFIELD, OREGON
INSPECTION REQUEST:
J
LEGAL DESCRIPTION
TICA4
JOB DESCRIPTION
A
zoning and d
Permits are non-transferable and QHflAUal
Multi-Family per du'elling unit.
Service Included:
1000 sq.ft. or less
500
thereof
or
Items Cost
$ 106.00
$ 19.00
Sum
oei nof
if work is not started within 180 days
of issuance or if work is suspende$;fur
Address
Supen'isor Licensc
/z
Zoning
180 days.Service
Authorized Signature -
2. CONTRACTOR INSTALLATION ONLY B. Senices or Feeders
Electrical'ilq tl IEt4T%tc
Installation,
Relocation:
NffiI
200
201
401
6 z--------7
Supervising Electrician
.U,?./<
Over
One Circuit
itme
INST
Phone - 3sr'*Each Additional Circuit
or Feeder Permit
-Each installation
Pump or irrigation
Sign/Outline Liglrting
Limited Energl',Ees
Liuritcd EnergviComm
lVIinimum Electric Perm
,1. SUBTOTAL OFABOVE
7"/o Stile Surchnrge
8%o Administrative Fee
or with Service
E. l\Iiscellaneous (Service/feeder not included)
$s0.00
$2s.00
$45.00
s)
it Inspection Fee is S45.00 + Surch arges
OJ
*4o
f
TOTAL JJ-
'1
z:-
Orvners
Adtress // 32 / /4 s'-
{./,'
g;rt - 7f /y
The installation is being made on
properry" I own r.vhich is not intended
for sale, lease or rent.
Owncrs Signature:
3. COMPLETE FEE SCFIEDULE BELOW
$ 50.00
Expiration
C. Te4rporary Scrvices or Feeders
Constr Contr. Number Installation, Alteration
Expiration
I :,",1&i,
D. Branch Circuits
or Extension Per PanelNuv Alteration
$43.00