HomeMy WebLinkAboutPermit Electrical 1992-12-08:;,.r,tt{(;l: ,t:LU
criiirlg, and does not
cval,
The following project
Jt
5. SI'BTOTAL OT ABOVE
5f State Surcharge
TOTAL
q.t
225 FTTTTI STRIII|T
SPRTNGFIIID, oI|EGoN 97477
INSPEcf,IoN REQUESTT 726-3
OFPICE: 726-3759
PENHIT APPLTCATTON
3. COHPLBTB T'EB
HuIti-FamiIy per dvelling unit.
Service Included:Items Cost
1.000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome or
Moclular Dvellirig
Service or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
1. LOCATION sig
LEGAL DESCUI'TION
DBSCRIPTION
ry{--
Permits are non-transferable and expire
1f vork is not started vlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CONTRACTOR INSTALI.ATION
Electrical Contractor
Add r:ess
city Job ttunuer ?2/ OG?
SCIIEDULB BELOIT
al-Single or
769
i611:n
Sum
clqe 4d4'7
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less -|--201 anrps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconneet OnlY
B.
Ci ty
Supervisor Licens Nu
'72 Ll2 5
Expiration Date
Constr Contr. |tunber b7 3/ O
Expiration Dat.
Signatur ctrician
0vners Name
Add rcss 2 12d
ci ty-Phone
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
Temporary Services or Feeders
Insiallatlon, Alteration or Relocation
200 amps or less $ 19.99
201 amps to 400 amPs $ 55.00
over 4b1 to 6oo amps
-
$ Bo.oo
,
0ver 600 amps or 1000-volts see nB" above
Branch Circuits
Nev, Alteratlon or Extension Per Panel
Phone
mber
$ s0.00
$ 60.00
$100.00
$130.00
$3oo. o0
$ 40.00
.r,?) ao_E-,
A.
D
One Ci rcui t
Each Addi t ional
Circui t or vi th Service
or Feeder Permi t
s 3s.00
$ 2.00
E. l'liscellaneous (Service/feeder not incltrded)
-Each installation
Prrmp or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
00
00
00
00
s40
s40
$20
s36
RIiCEIVIiD IIY:4P*-g-
as submitted has
require specific
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