HomeMy WebLinkAboutPermit Electrical 1994-05-09SPFInrcFIdLD
The followlng ProJect as submltterj hae lhe foll
225 FIFTE SI?.EEf,
zoning, and does not ' itscrRrcAl PERHTT APPLTcATToN
SPRINGFTEI.I), OREGON
ao:roval
97477 "
l_.Ci ty Job Nunber 06fr
INSPECTION REQTIEST:
OPFICE: 726-3759 o*,- -S:13!-J 3.COHPI.,ETB FEB SCffiDTIIJ BBLOV
1 IOCATION OF Nev Residentlal-Single or
HuIti-FamilY Per dvel)-ing unit'
Service Included:Items Cost
h
IAGAL DESCRTPTION
Phone
A
B
C.
D.
Sum
&c
Permits are non-transferable and expire
lf vork is not started vithln 180 days
oi t""r"nce or lf vork ls suspended for
180 days
2. COT{TRACTOR INSTALI,ATION ONLY
Erectricar contrac tor -{''-,Jro f ."iez'r r''/y
JOB
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
Services or Feeders
Insta1lation, Alterations
or Relocation:
200 amps or
201 amps to
401 amps to
601 amps to
0ver 1000 am
Reconnect 0n
Iess
600 amps
1000 amps
ps/voIts
1y
$ Bs.oo
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s 3s.00
$ 2.00
Address
ci
0wners Nr
Address
Cl ty
OVNER
DATB:
Phone 46/'.5LR
i
Supervisor License Number J
Expiration Date
Constr Contr. Number 4q
Exp iration Date 6 )s-G/'/L9
Signa ture of Supervising Electrician
Temporary Services or'Feeders
Installaiion, Alteration or Relocation
200 amps or less $ 40'00
over 4b1 to 600 amps i-- $ 8o.oo
0ver 600 amps or fbOO-frr[s see uBu aEF
Branch Circuits
Nev, Alteration or Extension Per Panel
D
One Circult
Each Additional
Circuit or vith Service
or Feeder Permi t
-E. Hiscellaneous (Service/feeder not included)The installatloir is belrig made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature:
-Each installation
Pumo or irrigation
s isn/ou t1 ine-Ligh t i ng-
Limited EnergY/Res
-
Limited EnergY/Comm I w
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
. TOTAL
RBCEIVBD
5.3b, oZI 80 *Log-+t*e>
=b€'6
/n