HomeMy WebLinkAboutPermit Electrical 1999-05-17JOB
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION OTLT
Electrical Contractor
Address
Ci ty.Phone
Supervisor License Number )q tqs
ExP iration Date
constr contr. Number
Expir ation Date
Signature Supervising Electrician
Ovners Name fnmnd
Address 7or t tJ ///
Ci ty Phone 7zz- trzlf
OITNER INSTALIJ\TION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovner$Signature:
DATE:
s|
-{GFIELO
ily per dvelling unit.
Included:
1000 sq.ft. or less
Each additional -500sq. ft or portion
thereof
Each Hanuf'd Home- or
Hodular 'DveIIing'
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
ers
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Items Cost Sum
s 8s.00
s 1s.00
$ 40.00
-WLht
Date
225 FTFTE STREEf,
SPRINGFIEI,D ,OREGON 97
INSPECf,ION REQUEST:
OFFICE: 726-3759
1 I.OCATION
4q
?706 76
IJGAL174 3
DESCRTPTIONo 7a oo2@
.B
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps
601 amfs to'1000 amps-
Over 1000 amps/vo1ts
s
s
$
$
$
s
00
00
00
00
00
00
50
60
100
130
300
40
coMMErUif;psru$4HAtYU3uEDFq__ $ 40.00
over 401 to 6oo amPs $ 8o'0tl
0ver 600 amps or fbOO-Elrs see nBu aEffi
D. Branch Circuits ; -.
NOTIC
pt}ilnfnsffi or Relocation
Nev, Alteration or Extension Per Panel
one circuit J- $ 3s.oo f
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Outline Ligh ting_
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
-T-
/.0 ;T
s
s
$
s
3 t (?
RBCETVED
5
EIJCTRICAL PERHIT APPTJCATION
SCEEDT'I.E BELOV
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