HomeMy WebLinkAboutPermit Electrical 1996-06-13CITY OF OBEGO'U
SPC|INGFIELI)
oFPICE: 726-3759
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COII1TRACTOR INSTALI,ATION ONLI
Electrical Contractor ADT Security Sysrems
Address 1501 pearl St t Suite B
CitY Eueene. OR Phone 54L-342-L3t3
Supervisor Licens e Number Rt771-..F
Exp iration Date rcl0L/96
Constr Contr. Number 59944
Expi ration Date OL/?9/97
Signature of Supervising Electrician
Name
Add
OVNER INSTALI,ATTON
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0rners Signature:
DATE:
ronin6, end does nct require opecilic land ueeL>(-EI,ECTRTCAL PERHIT APPLICATION
w'11'ctLt City Job Nurnber
P.u:hcrlzod Slgnatu
BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additionaL 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
%
225 FTFrfl, STREET
SPRINGFIELD, OREGON 97477, .
INSPEctIoN REQITEST z 7264769
A
Sum
$ 40.00
B
c.
D.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1
Over 1000 amp
amps
000 amps_
s/vol ts
s s0.00
s 60.00
s100.00
$130.00
s300.00
s 40.00
amps
es
00
00
t
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 4oo amps
-
S 55.00
over 4b1 to 6oo amps
-
$ 80.00
0ver 600 amps or 1000-Tts see uBu aEffi
Branch Ci rcui ts ; ..
Nev, Alteration or Extension Per Panel
?o o0
ci tvWr6o"",4l-1.'l *t . 1 4b >-one Circuit S 35.00
Each Additional
Circuit or uith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res J__Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
20.00
I .00
.60
s 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED
-
21.60
1. LOCATION OP INSTALLATIONo .:,orrT,r .z f W -nPe.r1--