HomeMy WebLinkAboutPermit Electrical 1999-03-19sr"rtN(;FrELo
:! f#f,:i#u:?xj i;,j#, :;:#:,,H f lf 3''n
1
A.
10 \4 +ocb
.IOB
Permi ts are non-tren<f,er ab and expire
if vork is not started vithin 180 days
of issuance or if vork is su r
180 days.
2. COMRACTOR INSTIIJ.ATION B
Electrical Contrac
Address
PERHIT APPLICATION
ty Job Nurnber
3. COHPLSTE FEE SCMDULE BELOV
Nev Residential-Single or
MuIti-FamiIy per dvelling unit-
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular 'Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
OFFICE: 726-3759
Ci ty
Zoning L rL
1-5Date
1!I!ydo,*t","
less
400
600
r.000
s s0.00
s 60.00
s100.00
s130.00
$300.00
s 40.00
Sum
ry
00 amps or
amps to
to
amps _amps_
amps
bnvo Phonffi-ulLF.!_4_to
I trpervisor License llumber ,1LE
DATE:
-Each installation
Pump or irrigation $
sisn/outline Lighting- S
t iili ted Energy/Re s 7 S
amps/volts _t 0n1y
Expiration Date
constr contr . uu b", ?]- llrlp()C
Temporary Services or Feeders
Installation, Alteration or Relocation
C
Exp iration Date b'qq 200 amps"or less
to 400 amps
ture of Supervising Electrician follow
Ovners Name
see
Per
$ss
s2
Addr
ci Phone
or Feeder Permi t
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder not included)
$
$
$a5oliil
00
00
00
Bll
40
55
BO
ll
Panel
.00
.00
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE
52 State Surcharge
32 Admini.s trative Fee
TOTALRECEIVED B
-l
(
rules set forth
952.001-
Each Addit
calling
number