HomeMy WebLinkAboutPermit Electrical 2001-04-16I
CITY OF SPB OREGO'U
The tollowing
zoning. and I
approval
SPT .;FIELD
PERHIT APPLICATION
City Job Numbe ,o/-oo383 -O r
COHPI,ETE PEE SCMDI.'LE BELOS
ZoninE otv
225 TIFTH STREET
SPRTNGFTELD, oREGoN 97477
fNSPECTI0N REQTESTz 726-3
OFPICE: 726-3759
Date
T6ghorized Signature
1.LOCATTON O
I,EGAI DESCRTPTIONl1OZ 3L/ Z
JOB ON
Permits are non-tran erable and exPire
if vork is not started vithin 180 days
of issuance or if work is suspended for
1BO days.
2. COIITRACTOR INSTAIL.ATION ONLY
Electrical Contractor e
Address cn€ 0e 9?302
Ci ty Phone 4t3-
Supervi.sor License Number 32qO -S
Expiration Date
Constr Contr. Nrtmber +Zq Lo
Exp iration Date I z- to" 03
S of pe ising Electrician
Ovners Name [,r] rr
Address -214cj 3U+n 5t
Phone 74 |
3 45 3
F NSTALLATIONb uh 5-L Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
3
A
o 3so<)Sum
100
Eac
sq
th
Eac
Mo
Se
anuf'd Home or
ar Dvelling
ce or Feeder
0shat
ere
hM
dul
rvi
q.ft. or less
ddi tional 500
t or portion
of
$ 8s.00
s ls.00
s 40.00
s s0.00
s 60.00
s1oo. 0o
$130.00
s300.00s 40.00
I
B. Services or Feeders
Installation, Alterations
fiC or Relocation:
200 amps''or less
201 amps to 400
0ver 40L to 600
over 600 amps or
200 amps or less -l-201 amps to 400 amPs _
40i- amps to 600 amPs
-
60L amps to 1"000 amPS-
Over 1000 amps/volts
Reconnect 0n1Y
Temporary Services or Feeders
Installation, Alteration or Relocation
o5uc
-
amps
00
00
00
$40$ss
$so
see
$
s
$
s
amps
1000-7oTTs nB'' aEoit
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
f or sal-e, Iease or ren t '
Ci ty
Orners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not incl-uded)
-Each installation
Pump or irrigation
--Sign/0ut1ine Lighting-
Limi ted EnergY/Res
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Admini.s trative Fee
TOTAL
40.00
40.Oft,
20. ofr
36.Oft,
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DATE:
RECEIVED B
o o/5
land
f-ua€o€
C.
$4
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