HomeMy WebLinkAboutPermit Electrical 1990-09-0700r'NE /L: Etr?yqlh '4?e
225 FIFTE STREET
SPRTNGFIELD, OREGON 97477
INSPECTION REQI.TEST : 726_37 69
OFFICE: 726-3759
1. LOCATION OF
SPRIltlGFIELO
EI.^ECTRICAL PERXIT APPLICATION
City Job Number 4o I [7A
COHPLETB PBE SCEEDI'LB BELOS
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Hodular DvelIing
Service or Feeder
$ 8s.00
$ ls.00
$ 3s.00
Serviees or Feeders (10 Branch Cireuits
included). InstaIIation, Alterations
or Relocation:
ktn na
0 /tl 3t
3
A
LEGAI DESCRIPTION
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI"A.TION ONLY
Electrical Contractor
Address 1zz2L /14 Eewz ; r
ci J Phone b L
Supervisor License Number 13'1 I
Expiration nate rC'/tC / ?c.
-
Constr contr. Number lr\Z,-lC
Expirat ion Oate lA "''.jC . ? I
S of I BIec ICI:LN
OVNER INSTALI,ATION
Name
100 amps or less
101 amps to 400 amps ll-
401 amps to 600 amps
601 amps to 1000..arps-
0ver 1000 amps/voIts
Reconnect Only
Sum
B
s 3s.00
s 60.00
$ 80.00
$130.00
$300.00
$ 3s.00
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 35.00
Over 600 amps or 1000 volts see "8" above
Address
Ci ty Phone
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Sig4ature:
-7
PT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 1s.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 36.00
Sign/outline Lighting- S 36.00
Signal Circuit or
limited energy panel S 36.00
s 35.00
$ s0.00
E
5
DATE:
RECEI
SUBTOTAL OF ABOVE
5Z State Sureharge
TOTAL
Go.a)
7"dD
tnz -61>
r/t-L,J-=RECEIVED BY:
one dircuit
Tvo to ten Circuits
Each Addt,l ten or
portion thereof