HomeMy WebLinkAboutPermit Electrical 1992-02-13OFEGO't'
225 FIFTE STREEf,
SPRINGFIELD,OREGON 974
INSPECf,ION REQTIESTip
OFPICE: 726-3759
1 LOCATION OF INSTALI,ATION
ripo
B. Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less /
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconneet 0nly
ELEETRICAL PERHIT APPLICATI
City Job Nunber
FEE SCEEDULE BELOII
Nev Residential-Sing1e or
HuIti-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Address 2-io Nu'"'s'*c
Ci t1-JC phone 6 8 7-i 3 6L
Supervisor License Ntimber 3o.t / *
Expiration Date /o - / - 7 z-
Constr Contr. Number "
3 76 Z
ExpirationDate I *6 7z-
Signature of Supervisi Electrician
a,
3
A//,
LEGAL
JOB DESCRT,
$4a.,,4zG-
PTION()-.u,
Sum
6.G
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
gz
s 2.oa I
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
s 3s.00
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see I'Brr aboveru-Z
Ovners Name -6rce Tgzrt pLE
Address 2 q V L
Ci ty ,E /6 e7/3 Phone, 6tr6--/tlf
OSNER INSTALI.ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
0vners Signature:
DATE:
c
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utline Lighting_ S
Limi ted Energy/Res _ $
Limited Energy/Comm S
SIIBTOTAL OP ABOVB
5X State Surcharge
TOTAL
f,{
not included)
40.00
40. o0
20.00
e-a_
/o?-OgS-3.z-t
U_-
4,ryD
RECEIVED BY:
5
5te,-1
Electrical contrac ro, R, ns u,, Fte.:Wc
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permi I Z-