HomeMy WebLinkAboutPermit Electrical 1996-02-02. clwoF OAEGO'U
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225 FIITE STREET
SPRINGFIELD, OR.EGON 914}]
INSPEilI0N REQUEST: 72t,-31F9_
1. LOCATTON OF TNSTAIIJ,TION
5oo-/s. \J \b'f*--
l.EGA- DEST.RTlTIOIi
P arht on-transferable and expire
i starteC v: thin 180 day-s
of issuance o! if vork i-" suspen-ded for
L80 ciai,s.
2. CONTRACTOR INSTALI,ATION OI{LY
Elec r: j ca- Con rrr",osSIC:l: [iEtTllic s::.'J:i:
Address r,- L, (-\;r c$S3f
Ci ty on. .1(Albf,i
Supe::r':-so:-i cense Numbe: .-}'aQ: .\
Exprraiton Date /() -I -?*
Constr Contr. Number \tc-OC-,
SPRT}IGFIELD
Lo(e E]JCTRICAI PERHI? APPLICATIOI(
U*C-:y Job Number
SCMDTILE EELOV
A Ne'-' Resi ciential--Single or
lluitj-iami11 per dwelirng unit.
Sei'r'i ce 1n cluded :
f t ems Cos'.
100Ct sc . : -. . o: less
Each acic::iona1 500
sq. ft or portion
thereo:
Each }ianuf 'd liome or
Mo<juia: Dveliing
Sen,ice or Feeder
S B5.OC
s 1s.0c
s 40.00
B Sen,ices or Feeders
Install-ation, Alterations
or Relocaiion:
200 amps or
201 amps ro
401 amps to
601 amps to
afi
ON
amps
amps
amps
s 50.00s 60.00
s100.00
s130.00
s300.00
s 40.00
not
40.
40.
20.
36.
Sum
5ei3
inciuded )
if vori: :s
less
400
600
r.000
C Temporarl' Services or Feeders
Instaliati.on, Alteration or Relocation
D. Branch J::cui t-c
Neu. A.l te;ation or Extension Per Panel
s 35.00One Circui t
Each Acic::ional
Crrcui'. or vi th Servrce
or Feeoe: Permi t s 2.00
200 amps or less S 40.00
20i amps to 400 amps
-
S 55.00over 40i to 600 amps
-
S 80.00rver 60C amps or 1000-id:i-< see *8" aE--iE
0ver 100C amps/volts
Reconnec: 0n1y
Miscelianeous (Service'teecier
-Each ins:al-}ati.on
Pump o: :.:::igation S
Sign/Ou:l:ne Lighting- S
Limr tec Lnergy/Res
-
S
Limitec Energy/Comm S
Expira:ror Date .{
!
Signature of Supervising Eleetriciarr
m*
The insla:iation i-c beinE; made on
properr' l ovn vhich i-q noi intended
f or sai'- . ]ease or ren I .
Otrners Sig'na ture
Acidres-. S31 crJ C-p-*-G*Lo.-,,'
ci t1j;-,^r!\-{J-Pirone l4b A)
00
00
00
00
q SUBTOTA; OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAT
L,<ro3so
_\,(.arbtl fTIt
---*-1
DATE:
RECETVED B
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