HomeMy WebLinkAboutPermit Electrical 1992-01-31strt ilr{(:FtcLo
ELECTRICAL PERHIT
City Job Number
APPLICATION
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Aie
225 FIFTB STREEf,
SPRINGFIEI,D oREGoN 97477
INSPECf,ION RBQUESTT 726-376
0FFTCE: 726-3759
1 LOCATION OP TNSTALI^ITION
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19 fz ,tr 0 t r-< t'ce m - {-ff o(rL
COHPI.^ETE BELOV
Nev Residential-Single or
HuIti-Family per dwelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd Ilome or
Hodular Dvelling
Service or Feeder
$ 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocat i on:
Sum
JOB DESCRTPTION
L //9^-- k- D- /.-
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CO}{TRACf,OR INSTALI.ATION ONLY
Electrical Contraetor Ap T
Address l€<> t -7)c*-
|
Phone 3'{Z- r3r3
Supervisor License l,Idmber 7S zf L li
Expiration Date to- t ^ 13
Constr Contr. Number Salq{
Expiration Date l Zq- q-L
Signature of Supervising Electrician
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/vo1ts
B
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above/!J,***
Ovners Name S,-t-(,>.1
Address <;L5 ,h,tl >l
Ci ty ,J,4. Phone 1L6-qSUg
OIJNER INSTALI"ATION
The instaLlation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
*
D. Branch Circui ts
Nev, Alteratlon or Extension Per Panel
Onb Ci.rcuit S 35.00
Each Addi tional
Circui t or vi th Service
or Feeder Permit S 2.00
E. l'liscellaneous (Service/feeder not included)
-Each installation
Pnmp or irrigation
Sign/outline Light ing-
Limi ted Energy/Res
Limi ted Energy/Comm E-
STETOTAL OF ABOVB
5Z State Surcharge
TOTAL
00
00
00
00
s 40.
$ 40.
S 20.
s 36.
5
,C'TY OF
RECEIVED BY
m
Ci ty t- u1e--*-
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