HomeMy WebLinkAboutPermit Electrical 1996-09-05-
225 II'iE'I'U STREET
SPRINGFII}LD, ORI,GoN 97 471
iir3'pircf,ioN REQUEST z 126-3769
OFFICU t 726-3759
i L.OCA'IION OF INSTALI.ATION
EI*BCTRICAL PEzu{IT API'LICATiON
Ci ty Jqb Number
SCH.EDUIE BELOII
Ser-vice Included:
I t erns Cos t
$ 85.00i000 sq. f t. or less
Each adriitionaL 500
sq- !t or Portion
thereo f
Each Hanuf'd Home or
l'loduIar Dvel,ling
Service or FeeCer
Seuvices or Feeders
instalJation' Alterations
or Relocation:
Nev Residentral-Single or
l.{ul t i-Fami}y per dve}}ing uni t '
equiro opecilic lond uge
B
SPFI. TFIELl2
asQ /4
00 amps
000 amps_
s/volts .-v_
_q*tu*
,/r9 -4 sf A
JOU DESCRI
SCRIPTION
,A
s ls.00
s 40.00
t"r
Perrn j ts e.re Iron- transf erable and expire
j! vouk rs not started vlthin 180 days
;i iiiu*,',.e o. !f vouk is suspended for
) 80 Cays.
2. CONTITACTOR INSTALL{TION ONLY
oN ,/r.d2z2 RCz,? /tu'.,.L/<n
z2o t../4 5//rA c. t'R C
ABLE ELECTRICiil,ec tri caI Colr tractor
/rd6ress 55I1 l'{AIN 200 amps
20I amps
401 amps
601 anps
Over 1000
Reconnec t
$ 50, 00
$ 60,00
$100.00
$r30.00
$300 .00
$ 40.00
s 40,00
s 55. C0
$ 80.00
seelrB"
2^s
6:)- _ff;-z z-
Ci t1t SPRINGFIELD Phone 1?6'67CL
Su1>ei'visor License Number 3023S
Ur:piratictlt Da'.e I0-i-96
Corrs t r Cctr (:". Nuil:ber 92506
Ii>:p!raliort Dat.e 7 '-16-g?
Signature of Supervising Electrieia'n
Temnorarv Services or Feeders
tnstallaiion, .{Iteration or Relocation
2C0 arnps or less
201 amps to 400 amPs
-
Over 40i to 500 an'.Ps
oveu 600 amps or 1000-16Tls
ouI
to 4to 6
to1
amp
0n]
or Feeder Permi t
SUB?OTAL OF ABOVE
5Z State Surcharge
32 Admirli.straiive Fee
TOTAL
aEoE*
2 .00 f ';""
no t includec I
40. 00
40. 00
20.00
f Y-cc
2.7a
a77
Uvrrc [ 5
Address
D. Branch Circui ts
Nev, Alteratlon or Extension Peu Panei
Cne Ciucui t
tach Addi tional
Circui t cr rui th Service
$ 35.0C'
C j (y _f.7 'Z /-) Phone
OtrNEIi INSTALI,A'IION
'fhe !rtstal.l.a t ioll 1s bei'ng naoe on
I)uopert), I oun r",liich is noc intended
fov sale, lease or rent.
Or,rners Signature:
NirtrrrJ -26' 2 O.<.'3
3? t")6 7''+ -rr
s6 7€J5
E MiscelJaneous ( Service/f eecier
-Each:nstaJlation
Pump or irrigation $SignZCutline-Lightirg-- tLimi ted EnergY/Res S
Limited Enerly/Comm : S
DATE:
RDCEI
RBCEIVND B tM__
q
,sJ&-