HomeMy WebLinkAboutPermit Electrical 1996-05-15C'TY OF SPR"VGFIELD,OREGON
97477 Lonl726-3769
1. LOCATION OF INSTALLI\TION AUthATIZ€d
+h
TEGAL DESCRIPTTON O r'7)/1
JOB DBSCRIPTION
SPFlNGFIELD
knstlE
roquire epmffic
EIJCTRTCAI PERHIT APPLICATION
City Job Nunber €rr.n (n3
EEE SCEEDUIJ BELOS
idential-Single or
Multi-FamilY Per dvelling unit'
Service Included:ftems Cost
$ 8s.00
The foilowing Proiect
zi.rting, and does nor
225 YIYTB SIREBT
sPRrNGrrELD, oREGON
INSPECTION REOIIBST:
0FPICE: 726-3759
u
Data
A
B
C
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;.^ce or if vork is susPended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Hone or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-401- amps to 600 amPs
-
60L amps to 1000 amps-
0ver l-000 amPs/vo1ts
-
Reconnect 0n1Y
200 amps or l-ess
201 amps
Over 401
Over 600
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
to 400 amPs
-
to 600 amps
amps or rboo voTT
s 1s.00
s 40.00
50.00
60. 00
100.00
130. 00
300. 00
40. 00
's see ttBu a6ovE-
El-ec t ri ca1 Con t rac t or Son i t ro I S cu r i t v
Address P.O.Box 2 1 009
City E uqene Phone 46 'l - 5678
Supervisor License Number /68q Per
Expiration oate lO- I -?6
Constr Con tr. Number 651 49
Expiration Da te 6-28-96
Signature of Supervising Electrician
TemporarY Services or Feeders
Installaiion, Alteration or Relocation
$
s
$
$
s
s
$ 40.00
$ ss.00
$ 80.00
0vners Name
I
s
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additionaf
Circuit or vith Service
or Feeder Permit
s 3s.00
$ 2.00
E. Miscell-aneous (Service/feeder not included)
Address .5a e
Citv P
OVNER INSTAII.,ATION
none 744'7D0b
The installation is being made on
pi"p"itv r ovn vhich is not intended
for safe, lease or rent'
Olrners Signature:
-Each instal-lation
Pump or irrigation $
sign/outline Lighting- q
liili- ted Energy/Res -- $
40.00
40.00
20.00
36.00 36da
5 36da-----'--z--DATE: J -
RECETVED B
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