HomeMy WebLinkAboutPermit Electrical 1999-10-08225 PIFTE SI"'EEf,
SPRINGFIEI.D, OREGON
INSPBCTION REQIIEST:
0FPICE: 726-3759
I. II{GFIELO
City Job Nurnber /37o'
s 85.00
COI{PIJTB PEE SCEEDI'I.E BELOS
Nerl Residential-Single or
iiutti-r.tiIY' Per dvelling unit'
Service Included, ,,"r" Cost
qfi,
ahe lollowing proiect as submitted has the following
,;;,;;.;;e"d'oes not require specific land use
approvEl Li> (-BT.ECISICAL PERHIT APPIJCATION'
Zonlng
7 o-a - n
^,
Jrt iorlzed Signature
1. I.oCATION OF INSTA.LIATIONr
a 31 oGaol
IJGAL 6zo I
ANYlSODAY
.8.
3.
.A.
E.
Sum
JOB DESCRTPIION
Alaru Inetal latrnn NOTlQf.
Permits are no n-t ransferable and e'EilEFERMIT
sq. ft o
SHA].bE fif,E
if vork is not started vithin 180
of issuance or if work is susPe
1000 sq.ft. or less
gach additional 500r Portion
WORK s 15.00
s 40.00
s 50.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
ions
ttBl??i""s or Feeders
Installation, Alterat
rs
Relocation
Expiration Date-
Signature of Supervising Electrician
il*/"4/\egv
Ovners Name
E66
D. Branch Circui ts o .'
Ner, Alteration or Extension Per Pane1
Each Additional
Circuit or vith Service
or-r'""aer Permit
-
S 2'00
-HiscellaneouS (Service/feeder not included)
201 amis to 400 amPs
-
0ver 401 to 600 ilPs -,-0ver 600 amPs or 1000 volts
-Each instal'Iation
Pump or irrigation
Sidr/OutIine Lighting-
t iilited EnergY/Res;i;i;; il"iivzco', -T
$ 40.00
$ 55.00
s 80.00
see rrBrt a
ffiz'
00
00
00
00
/Address
cit Phone J 41,
OSNER INSTALIATION
The installation is being made on
;;;p;;ii-i orn-vhich is not intended
ior sale, Iease or rent'
0mers Signature:
40
40
20
36
$
s
$
$
a
5. SUBTOTAL OF ABOVE' 5Z State SurchargejZ Admini.strative Fee
o
?f 3 bDATE: /sql o
300
180 daYs.
2. COMRAGTOR INSTALI.ATION ONLY
Constr Contr.Number
or Reloca t ion:
oregon Iess
1000
amPs
amps
Services orTemporarY
Ins talla t ion, Alterat