HomeMy WebLinkAboutPermit Electrical 1998-08-25CITY OF {}REGOilf
sP.;FIELO
,r
) rto
INSTALLATION
APPLICATION
S
NOTI Signature
225 FIFTE STREET THIS PERMIT SHALL EXPI BLECTKTCAL PERHIT
spRrNGFrELD, oREGoDfrl..frlEtHlzED UNDE R THIS PEHMIT IS NOT JobNunberqT/0SlINSPECTIoN REQuEsr bO ntrfrrEnLLff O R I S ABAN DO N ED FO RoFFrcE: 726-375
ANy lBnnAy pEBtoD. 3- co'p
1
LEGAL DESCRTPTION
JOB PTION
Jq-r,
Electrical Cont
Address 3tcs Lr<c.-<e< f-D)
Ci ty 4 Phone Akf tTts-
Ci ty
LETE PEE SCffiDTILE BELOV
Residential-Single or
i-Family per dvelling unit.'ice Included:Items Cost
s 8s.00
LOCATION OFz{ A\ 1tt(i A. Nev
Mul t
Serv
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
1.80 days.
2. COMRACTOR INSTALLATION ONLY
ractor (t,hS_^,6*,t
Supervisor Licen se Number sE.r)SS
Expiration Date
3c//
Feeders
ion or Relocation
s 40.00
$ ss.00
s 80.00-IofTs see ,B* a Eove
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
E. Miscellaneous (Service/feeder not included)
1-000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
B
$ 1s.00
$ 40.00
Sum
{0,,,0s s0.00
s 60.00
$100.00
$130. 00
$300.00s 40.00
Con str Contr. Number
Expiration Date
Signa t of Supervis EIectr
Ovners Name Vo"ho-r
Address lZb')O(4r^rac
Ci ty J Phone 1Lb atr ( O
O9NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
Ovners Signature:
DATE:
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$
$
$
$
40
40
20
36
00
00
00
00
5
t,
RECETVED
e{
\'4,do
7
*
Notification Center'