HomeMy WebLinkAboutPermit Electrical 1997-01-07$ l.ind use
$ 8s.00
s 1s.00
s 40.00
36.00.
1.80
1.08
38,88
225 FTYT:E STREEf,
SPRINGFIELD, OREGON 97477, .
INSPBCf,TON REQUESIS 726-3769
OFEICE: 726-3759
BI,ECTRTCEL PERHIT APPIJCATTON
City Job Nunber
Nev Residential-Single or
MuIti-Family per dvelling unit.
ervice fncluded:Items Cost
tl-hl
1. IOCATTON OP INSIAI,IATTON
ict S s. irl{\ g
.A
1 D 33US a- Llrud Sum
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALIIITTON ONLY
Electrical Contractor@ms
Address I501 pearl Srr t, Suite B
Ci ty Euqene.OR Phone_E!:3-42_.L1[3
Supervisor License Number . Qqg .llr
Expiration Date tOlOl t9(1
constr contr. Nrmb"r sgg44
Expi.-ation Date oL/?9 197
Signature of sing Electrician
0vners Name
Address
ci,Y50eLrf,-,ell- Phone'lqL-2ri?orl***on
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
JOB DESCRTPTION
A'lerm Tnsfa'l laf lon
B
200 amps or
201 amps to
401 amps to
601 amps to
Over 1000
Reconnec t
less S 50.00
400 amps $ 60.00
600 amps $100.00
1000 anps 5130.00
ts
c
D. Branch Circuits
Tenporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less
201 amps to 400 anps
-Over 401 to 600 amps
-Over 600 amps or 1000E-fts
amps/vo1
OnIy
$300.00
s 40.00
see nBrt affi
s 40.00
$ ss.00
s 80,00
The installation is being made onproperty I orn vhich is not intendedfor sa1e, lease or rent.
Oyners Signature:
Nev, Alteration or Extension per panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder permit g 2.OO
Hiscellaneous (Service/feeder not included)
-Each installation
Puup or irrigation
Sign/0utline Lighting-Linited Energy/Res
-Linited Energy/Comm T
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrativi Fee
TOIAL
E
s 40.00
s 40.00
$ ?0.00
$ 36.00 36-00
DATE:
OREGONCITY OF
RECETI/ED
5
hes thtr
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