HomeMy WebLinkAboutPermit Electrical 1997-12-22D I t
5t.t trI{Gl:3r:r_u
l^
qfr,
225 FIFTII STRIiIiT
SPRINGFIELD, OREGON 97
INSPECTI0N REQUEST: 7
oFPICE: 72.6-3759
+,t^S{""-F A. Nev Residential-Singl
HuIti-Family per dwel
Service fncluded:
IT APPLICATION
-(
4)?
BELOU
eor
ling unit.
Items Cost
$ Bs.oo
$ 1s.00
s 40.00
00
00
00
ee nBrr aEoF
1. LOCATION
\a"Qo xr
OI? INSTALI.J\TION
LEGAL '?/Sum
JOD DESCRTPTION
Prr-In-a +Fll€L4a-
Permits arc non-transferable and expire
if vork is not started wlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CONTRACTOR INSTALIJ\TION ONLY
Iilectrical Con t rac tor
1000 sq.ft. or less
Each additional 500
scl. ft or portion
thereof
Each Manuf 'd llome or
Modular Dwellirig
Service or Feeder
B. Services or Feeders
Installatlon, Alterations or
Relocation:
C
200 amps o.r Less
201 amps to /r00 amps _
0ver 401 to 600 amps _0ver 600 amps or 1000 volts
c
Add r:ess
Plrone 46 /-z-Z 7 I
Supervisor License Ntimber "s:725Expiration Date 1r:*/-? {
constr contr. Number 6Ja>2
Exp iration Date /2-//-Zs
Signature of Supcrvising Blectrieian
0vners Name $p,2fa6q-A- OU-t OtT
Add ress I 2Aa Ll , b '-, + \
Ci ty S rr Plrone
OIINRR INSTALLATION
The installation is being made on
property I own vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE: i:-" LI-,4?
200 amps or less
201 anrps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0nIy
Temporary Services or Feeders
Installatlon, Alteration or Relocation
$ s0.00
s 60.00
$100. 00
$130.00
$300.00
$ 40.00
$
$
$
s
40.
55
BO
D. Branch Circuits
New, Alteratlon or Extension Per Panel
one ci rcui t I $ 35 ' oo 3S,"t)
Each Addi t ional
Circui t or vi tlr Service
or Feeder Permi t -A. S 2.00 4,fi)
E l'liseellaneous (Service/feeder
-Each installation
Prrmp or i rriga t ion $
Sign/0utIine Lighting_ $
l,inri ted Energy/Res
-
$
Limi ted Energy/Comm S
not included)
40.00
40.00
20. oo
SI'BTOTAL OT ADOVB
5f State Surcharge
TOTAI,
39 ,6U
RIiCI':IVI]D IIY
oo7
5
h-s'-
eCirV@