Loading...
HomeMy WebLinkAboutPermit Electrical 1997-01-21C'TV OF OREGON I-DL SP,lI..\iFIELE, EIJCTRTCAT PERHTT APPLICATION City Job Number 0 SPRTNGFTELD, OREGON 91 411 INSPECTTON REOUEST: 726-3769 225 FIruH STREET OFFICE: 126-3159 1. LOCATTON OF N/M COMPI-ETB FEE SCEEDTILE BELOS Nev Residential-Single orMulti-Family per dvelling unitService fncluded: Items DESCRT C63 x JOB DESCRIPTION Permits are non-transferable and expire i f vork is no t s tarted 'iri thin 180 divsof issuance or if vor},- is suspended ior 180 days. 2. CONTRACTOR INSTAII-ATTON ONLY B Electrical Contractor Soni trol Secur i ty \ Address P.O. Box 21009 24 2A ^/. 3 A ulry tuqene Phone461-567 C 1000 sq.ft. or Less Each additional 500sq. ft or portion the reo f Each Manuf,d Home or - ModuLar Dvelling Service or Feeder Services or FeedersInstallation, Alterationsor Rel-ocation: 200 amps or l-ess 201 amps to 400 amps - 401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect 0n1y SUBTOTAL OF ABOVE 52 State Surcharge 3Z Admi.nistrative Fee TOTAL Miscelfaneous (Service/feeder -Each installation Pump or irrigation _ $ Sign/Outline Lighting_ S Limi ted Energy/Res i S Limi ted Energy/Comm S Cos t Sum $ 8s.00 s 1s.00 $ 40.00 s s0.00 s 60.00 s 100. 00 $130.00 s300. 00 $ 40.00 3o@ bod Supervisor License Nurber B E-r Expirat ion Date /o-/-q Constr Contr. Number 651 49 Exp iration Date €@ Signa of ising Eiectrician Ovners Name Address rn( Temporary Services or Feeders Installation, Alteration or ReLocation 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps -0ver 600 amps or 1000 volts Irl C E s 40.00 s ss.00 s 80.00 see ttBtt D. Branch Circui ts Nev, Alteration or Extension Per Panel One Ci rcui t Each Additional Ci rcui t or vi th or Feeder Permit s 3s.00 Servi ceci ry-pnone 746 - 53/7 OIINER INSTALLATION The installation is being made on property I oun which is not intended f or sal-e. ]ease or reni. Owners Signature , a6ove 2.00 not included) s 40. 00 40. 00 20. 00 36.00 =W 5 DATE: RXCEIVED '1-r &/:o Q it. Zoning_ - 2/Y)a1