HomeMy WebLinkAboutPermit Electrical 1993-12-13CITY OF OREGO'U
225 FIFIE STREET approval.'
SPRTNGFIELD, OREGON 97 477
INSPECTI0N RE0tESTz 72 6-3769
OPPTCB: 726-3759 Date
1. LOCATTON OP INST Auiherisorl
ALI,ATTONqj N{ t7A
IJGAL DESCRIPTION11 o 31" I oaL
JOB
Lous
Address I ot ?e**l
Phone 3YZ-t }t]
Supervisor License Number ggz Suci
4
Ci ty Phone 7
OVNER INSTALIATION
SPrl!'{GFtELI,
E IE,trPJCAL PERHTT APPLTCATTON
*q ,i City Job Nunber
SCEEDULE BBLOV
A. New Residential-Single or
The lollowing proiect as submittad !"te th?
r"lii,ei, ffi"o5u"'nor require specific land ube
HUI t i-Fami
Service fn
Iy per.dvelling unit.
cluded:
f tems
1000 sq.ft. or less
Each additional 500sq. ft or portion
t hereo f
Each Hanuf,d Home or
-Hodular Dvelling
Service or Feeder
Services or FeedersInstallation, Aflerationsor Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-over 1000 amps/volts
-Reconnect Only
Cos t
$ 8s.00
$ 1s.00
s 40.00
$ s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
Sum
Permits are non-transferable and expireif vork is not started vithin 190 daysof lssuance or if vork is suspended for180 days
?.. CONTRACTOR INSTALI.ATION ONI,I
iilectrical Contractor,+.DT-
B
Expiration Date /n-/- qL
Constr Contr. Number gi +'q-t
c
Expiration Date
Signature of Su pervising Electrician
Ovners Name (,L-b 9r.*-u,D. Branch Circuits
Address 5Amf orJZ N .lcr Lrr_ Nev, Alteration or Extension per panel
Temporary Services or'FeedersInstallatlon, Alteratlon or Relocation
200 amps or less g 40.'OO
201 amps to 400 amps
-
S 55.00over 401 to 600 amps
-
$ go.o0
Over 600 amps or 1000-vol.Ts see ilBr aEdF
One Circuit S 35.00Each AdditionalCircuit or vlth Serviceor Feeder Permit _ $ .2.00 ._
Hiscellaneous (Service/feeder not included)
-Each installation
The installation is being made onproperty I oun vhich is not lntendedfor sale, lease or rent.
Onners Signature:
E
Pump or lrrigatlon
Sign/Outline LlghtiLimited Energy/Res
Limlted Energy/Conm
5. SUBTOTAL OP ABOVB
5tr State Surcharge
TOTAL
ng_
X
s 40.00
s 40.00
s 20.00
$ 35.00
24t, &
DATE:a
i "onRECBIVBDrlg
C.r-,
Ci ty E u\.e-<
-
{