HomeMy WebLinkAboutPermit Electrical 1998-07-14CITY OF OREGAN
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225 FTTTB STREET
SPRINGFIELD, OREGON s7477 N
EI^E TRICAL PERHIT APPLICATION
Number q 0 869
INSPECTION REOIIEST:726-3ffi9 pERMtT SHALL EXPI
oFFrcE: 726-375e
AUTHORTZED UNDEtsTHtS&Efrt6[TrE Ngff scmoulE BELov
1. LocArIoN oP INSTALUTIQIMvENCED OR lS tBANRg,i'ltD"E?F"ntiaI:SingIe or
,1 oa
Multi-FamilY Per dvelling un
Service Included:
Items
JOB DESCRIPTION 1000 sq.ft. or less
Each additi.onal 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
PTION
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
;; i;;;"t"" ot if vork is susPended for
180 days.
2. COI.ITRACTOR INSTALLATION ONLY
Electrical Contractor Soni trol Secur i t!
Add ress P.O. Box 21009
Ci ty Eu ene Phone 46 - 5678
Supervisor License Number
Constr Contr Number 651 49
Expiration Date 6-28-00
Signa ture of Su 1 Electrician
Ovners Name
Expiration Date /L - /- "/-/
C.TemporarY Services or Feeders
inti.ff.iio", Alteration or Rel-ocation
200 amps or fess,oi ;*;" to 4oo amps --
Over 401 to 600 amPS
-
0ver 600 amPS or 1000 volts
200 amps or less
ioi "r'pt to 400 amPs
-401 amps to 600 amPS --60L amps to 1000 amPS-
Over 1000 amPs/volts
-
Reconnect 0n1Y
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
B
it.
Cos t
$ 8s.00
s 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
.00
.00
.00
ilB|'
s 3s.00
s 2.00
Sum
above
$40$ss
sB0
see
Branch Circuits
Nev, Alteration or Extension Per Panel
Address / 4(e 5. 15 ' n
Ci ty
OIINER INSTAILATION
The installation is be
propertY I own vhich i
for sale. lease or ren
Owners Signature:
Phone
made on
ot intended
Eing
sn
t.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40'q9
iignzoutrine Lightins- t 19'99
t iilited Energy/Res : S 20'00
5
DATE:
RECEI
RECEIVED B
)tD oo
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