HomeMy WebLinkAboutPermit Electrical 1999-04-20CITY OFSPF OFEGO'V
(,\.GFIELE)
225 FTFTE STREET
SPRTNGFTELD, OREGON 97
INSPECTION REOUEST: 7
OFFICE: 726-3759
i-rate
TION OF INST1. LOCA\,a;ld ea$$ALLASf,-QHed Signature
The tollowing project as submitted has the rollovEtr$CTRI
land usenot require specific
City Jo
o5
d Ttua
C
CAI PERHIT APPLICATION
b Nu.mber // 9fz-o
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor Soni trol Secur i t v
Address P. O. Box 2 1 009
Ci ty Euqene Phone 461 -5678
Supervisor License Number
Expiration Dat" LC:'(C|Q
Constr Contr. Number 65149
Expiration Date 6-28-00
Signature of rvising Electrician
Owners N ame
Address
FEE SCHEDI]LE BELOV
ential-Single or
Multi-Family per dvelling unit.
Service Included:Ai iEN IiL.,l\.\iqt'9.- " ','fterii.t'1 'r':Cbst
follo'lv rules adopteo llv Ihe ()1gg"rsl ;-t1a',i1r
1l'0@i q{i pn$e 6lp r.ipgqse ru I es a le gettiilth
Ee &rAE d$?tq6h00 1 g Ouo LrBn-Cr"ffq s52-00 I'
@0.ft'toumrydffAuncopies of tne rules h.r
thdEngithe centet. (Note: the telesrors.00
E a n bnthn ffi t0 emfiEq trrtJ t]TifyTlot it i c at i o n
Modu la Cr0rtei.Lir+8CI0-332-2344i.
Service or Feeder S 40.00
Services or Feeders
fns tallat ion, A1 terat ions
or Relocation:
200 amps or Less
201 amps to 400 amps
-401 amps to 600 amps
60L amps to 1000 amps-
Over 1000 amps/volts
-Reconnect 0n1y
Temporary Services or Feeders
Installation, Alterati.on or Relocation
LEGA],
l-t l?-9 DESCRTPTION
ILL Sum
B
s s0. 00
s 60. 00
$100.00
$130.00
$300.00
s 40.0c
cir pi,orCl(a-5J-.13
OITNER INSTALLATION
The installation is being made on
propert,,'I ovn which is not intended
for sale. ]ease or rent.
Ovners Signature:
DATE:
RECEI
D. Branch Circui ts
Nev, Alteration or Extension Per PaneI
One Ci rcui. t S 35 . 00
Each Additional
Ci rcui t or vi th Servi ce
or Feeder Permit S 2.00
E MiscelLaneous (Service/feeder
-Each install-ation
Pump or irrigation S
Sign/0utline Lighting- S
Limi ted Energy/Res
-
S
Limi ted Energy/Comm -T- S
200 amps or l-ess
201 amps to 400 amps
-0ver 401 to 600 amps
-Over 600 amps or 1000 voTts
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini s t ra t i.ve Fee
TOTAL
$40
$s5
SBO
see
.00
.00
.00
rrBI above
included )
(
not
40,
40.
20.
36.
00
00
00
00 'i:@
5
RECEI\ED BY:
N