HomeMy WebLinkAboutPermit Electrical 1994-10-06f"U s 5=68 ,|r-=ioltowtte,project as eubmined has thezonrng, and does not require .p"iia" iu'niap;>icval.225 PTFT,E SlTEEf,
SPRTNGPTEID, ORBGoN 97477 LDO
IIISPECTION REQTIESf,: 7
OBFICE: '726-3759
1 LOCATION OP
Aulhr:rileC
INSTALIATION
Signature.
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I,EGAL DESCRIPTION
JOB DESCRTPTION
N\-9.J,$L t&r..r'lrb trrdo.lt *\.rt t - ill.,rr.)'Ctrt
SPrlINGFIELO
"tlscrnlcAl, PERHTT APPLTcATToN
City Job Nunber q
3. COHPIJTB PEE SCEEDTII.E BELOS
A Nev Res tlal-Single or
Mu1ti-Family per dvelling unit.
Service Included:
n';3,:He non-transferabre and expire
if work is not started vithin 180 days
of lssuance or lf vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contractor
Address '3 i rno.r.l rn,.\ (-nJ
Ci ty 4'uoOrtO-_ Phone tLl
-rSupervisoi Li""nt" Number Pllq S
Signature of Electrician
Ovners Name O
Address N. t}+r'^'r{Z3
Ci ty Phone -7Ll b-3
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with
or Feeder Permi t
s 3s.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect Oniy
200 amps or less
201 amps to 400 amPs
-
0ver 401 to 600 amps
Over 600 amps or 1000Torfs
ServieeL
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OP ABOVB
5Z State Surcharge&o +st+L C{t,-{
-To{ cu(
B
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Servlce or Feeder -l- g 4o.oo g
L
Items Cost Sum
s 8s.00
$ 1s.00
00
.00uB" a6Z6
Expiration Date P/qs
c
Constr Contr. Number 5qq3E Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date q -n-7+
$ s0.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
00
$40
$ss
$80
see
$
$
$
$
i
\
$ 2.00 .l *
OSNER INSTALT,ATION
The installatioh is being made on
froperty I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
E. Hiscellaneous (Service/feeder not included)
40.
40.
20
36
00
00
00
00
DATB:
C'TY OF OBEGO'U
RBCEIVBD B
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