HomeMy WebLinkAboutPermit Electrical 1991-08-08225 PIPTB STREBf,
SPRINGFIEI^D, oREGoN 97 477
INSPEGII0H REQIIBSI z 726-3769
0FFICE: 726-3759
1 LOCATION
5,,,IINGFlELE,
BIAqTRICAL PERHTT APPIJCATION
City Job Nunber ? f aA 77
3 COHPI,ETE PEB SCIIEDI'I^E BBLOg
A. Nev Residentlal-single orHulti-Famlly per dvelllng unlt.
Service Included:
Items Cost
h
q
IJGAL DBSCN,IPTIONo3 e )e 2? /e o
JOB 1500 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each Hanufrd Home or
Hodular Dvelling
Service or Feeder
/ s 8s.oo
$ 3s.00
Servlces or Feeders (10 Branch Circuits
included). Installation, Alteratlons
or Relocation:
Sum
8 f .aa
7 g ls.oo -U0
,<
Permits are non-transferable and expirelf vork ls not started vithin 180 daysof lssuance or if vork is suspended ior
180 days.
2. CONTRACTOR INSTALIATION ONLT B.
Electrlcal Contractor t/€P
Address P.O, Bo* ///
uty UalT)lltltathone 746 * /o/g
Supervlsor Llcense Number A1?dc
Expiratlon Date /0 - 0l - f&
Constr Contr. Number 6'1-.,n E
ExplrationDate ,^l 7 -? 7
100 amps or Iess
101 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0n1y
$gs
$eo
$go
s130
S3oo
$3s
.00
.00
.00
.00
.00
.00
Orners I
Address
of Supervislng Elec trician
Name Da t;tA *"-^D. Braneh Circuits
,1s.
C. Temporary Services or Feedersfnstallatlon, Alteratlon or Relocatlon
Nevr.Alteratlon or Extenslon per panel
200 amps or less ( $ 35.00 75^.oe201 amps to 400 amps
-
S 40.00
over 401 to 6oo amps
-
$ go.oo
0ver 600 amDS or 1000-6Trs see ,grr ufrff
<-N
Cl ty b Phone 67-4vlz
OIINER INSTALIATION
The lnstallatlon ls belng made onproperty I ovn vhich is not intendedfor sa1e, Iease or rent.
Ovners Slgnature:
DATE:
RECEIPT
E. Hiscellaneous (Servlce/feeder not lncluded)
-Each installation
Pump or irrigation $ 36.00
slgn./outline Lighting- $ 36.00
Slgnal Clrcuit or
Iimited energy panel_ $ 36.00
5. stnToT L oF ABOVE | 90,<ec>
One Circuit
Tvo to ten Clrcults
Each AddtrI ten orportion thereof
5f State Surcharge
TOTAL
s 3s.00
$ s0.00
s 1s.00
7. {o
nF^-v-frh -t
t €r. sa
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