HomeMy WebLinkAboutPermit Electrical 1994-04-18SPFl}*aiFtELO U6B
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225 FI,rTE STREET
SPRINGFIEIJ)OREGON 97 477
INSPBCTION REQTIEST:
oFFICE: 726-3759
1 OP IN
OB
Permits are non-transferable and expire
if vork is not siarted vithin 180 dai's
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contra U
Add r
Ci one
ELECTRI
City Jo?
Authorized Sig nature-:rlJ^115 . COHPIE.I3." FEE SCMDI.ILB BELOV
LDL CAL PERHIT APPLICATION
bNunber q4D5re
foll€urlag
iin€
Nev Residential-Sing1e or
MuIti-Family per dvel).Lng unit.
Service Included:
I tems Cos t
A
D
Sum
Supervisor License Number
Expiration Date to\
Constr Contr. Number
Expiration Date
Signat e of Supervising Electrician
Ovners Nam
Temporary Services or Feeders
Installation, Alteration or Relocation
1000 sq.ft. or less
^Each addi t i onal 500
sq. ft or portion
t hereo f
Each Hanuf 'd ilome cr
Hodular D'*e11ing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
SI.IBTOTAL OP ABOYE
5I State Surcharge
TOTAL
ON 6 .Jc nnJ OJ. \'V
s 15.00
s 40.00
$ s0.00
s 60.00
s100.00
$130.00
s300. 00
$ 40.00
B
6E
.q<q1.6Qs,
c
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps
-
$
Over 600 amps or 1000 vofTs se
0
0
B
00
0
40.
55.
80.
gtt
Addr
Ci ty Phone
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permi t $ 2.00
0
" a56iE-
not included)
40.00
40.00
20.00 :-
OIINER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Osners Signature:
DATE:
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- S
Limited Energy/Res $
Limi ted Energy/Comm S
5
BRECEIYED
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(n