HomeMy WebLinkAboutPermit Electrical 1997-04-16ct TY OF SPB"VGFIELD, OREGO'V
SPRIt\.GF!ELD
Th
za
ai CATION225 FIFTE STREBT
SPRTNGFTELD, oRBGoN 97477
INSPECTT0N REOIESTz 726-3769
OFFICE: 726-3759
*CC,531
3 BELOU
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items
1. LOCATION. OF TNSTALLATIONrJ,4 ilt4W-*
Signature of Supervising Electricianruk++
A.
Cos t
$ 8s.00
$ 1s.00
s 40.00
$ s0.00
s 60.00
$100.00
$130. 00
s300. 00
s 40.00
e trBtt a
-d_
E,ove
Sum
2. COI{TRACT0R INSTALLATION 0NLY B. Services or Feedersb- ?,zac Insta11ation, Alterations
E lec t r i ca 1 Con t rac t o r Euce*te EcerztCSVc_, IUC or Reloca t i on :
JOB DESCRIPTION
Aoo E*r+-,&p6+-^,n Ct t3
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for
180 days.
Address t?^ ttnt\oa(=
City 616E4s,61,2_ Phone $4ul-Z4;ul, *tLtOz
Supervisor License Number IO4ZS
Expiration Date /D. /.Qf
constr contr. Number Qnzoo
Expiration Date A ,)a,eb
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
200 amps or less +
201. amps to 400 amps
-40L amps to 600 amps
60L amps to L000 amps-
over 1000 amps/volts
-Reconnect 0nly
C. Temporary Services or FeedersInstallation, Alteration or Relocarion
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps
-
S
Over 600 amps or 1000-ftTfs se
40.00
55.00
80.00
v
Ci ty Ettr,rilE phone 3q3-Q'35tn
OIJNER INSTALLATTON
The installation is being made on
property f ovn uhich is not intendedfor saIe, lease or rent.
Ovners Signature:
DATE:
RECEI
D. Branch Circuits
-Each installation
Pump or irrigation $Sign/Outline Lighting- $Limited Energy/Res
-
$Limited Energy/Comm S
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Nev, Alteration or Extension Per Pane]
One Circuit / $ 35.00 4"-Each Additional
Circuit or vith Service.
or Feeder Permi ,"" "'V I s 2. oo F-? *
Miscellaneous (Service/feeder not included)
Ovher's Name
Address 4f< A **o \rftf2 -
E
40.00
40.00
20.00
36.00
RECEIVED B
aO
'.qb
l-l'l;-qt+
EI.ECTRICAL PERI{IT
Ci ty Job Nunber