HomeMy WebLinkAboutPermit Electrical 1991-06-07C'TY
225 FIFTB STREBT
SPRINGBTELD, OREGON 97417
INSPBCTI0N BBQUBST. 726-3169
OFPICE: 726-3759
1 OF INSTALI.J\TION
IJGAL DBSCRIPTION
JOB DBSCRIPTION
2. COIITR/\CTOR INSTALI..{\TION ONLY
Electrlcal Contracto
Address P.
Permlts are non-transferable and expirelf vork Is not started vithln i.BO daysof lssuance or lf vork ls suspended for
180 days.
BI.^BCf,RICAL PBRHIT APPLICATION
ciry Job xunt>er 7/OS?Z
COHPI,ETB FBB SCtrEDULB BBLOV
Nev Residentlal-Single or
l,lulti-Faml1y per dvelling unlt.
Service Included:
Items Cost
L500 sq.ft. or less g 85.00
Each additional 500
sq. ft or portlon
thereof $ 15.00
Each Manuf 'd llome or
-Modular DwelIlng
Servlce or Feeder $ 35.00
Servlces or Feeders (10 Branch Cireuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps - | -
40L amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect Only
5ID]IINGFII:LT)
One Circuit
Tvo to ten Clrcuits
Each Addt'I ten or
portion thereof
5I State Surcharge
TOTAL
3
A
B
C.
r,
$ 3s.00
$ 60.00
$ e0.00
$130.00
$300.00
$ 3s.00
ioO,t
Cl ty Phone /rf l-AAA6
Supervlsor License Number lb86s
Exp lratlon Date o - l-q*'
constr contr. lluriuer 03 849
ExptratlonDate q-l-ql
s of Supervising Blectrician
/
Ovners Name
Address
Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
D. Branch Circuits
Nev, Alteratlon or Extenslon Per Panel
ci Phone
OVNER INSTALINTION
The installation ls belng.made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
RECBIPT *:
Miscellaneous (Service/feeder not lncluded)
-Each installation
Pump or irrigation $ 36.00
Sign/Out1ine Lighting_ $ 36.00
Slgna1 Cireuit or
limited energy panel_ $ 36.00
SUBTOTAL Of ABoVB (ro, OO
+l-i - Ass,t
$ 3s.00
$ s0.00
$ 1s.00
3,oo
b3, cto
RECEIVBD DY:
5