HomeMy WebLinkAboutPermit Electrical 1998-05-26OREGO'UCITY OF
-roval
225 TIFTE STREET
1. LOCATION OF INSTALLATION
SPRTNGFTELD, oREGoN 9747trdho,rzed
INSPECTION REQITEST. 726-3769
OFFICE: 726-3759
usa
ELECIRICAL PERHIT
ob Nurnber
3. COHPI,ETE FEE SCEEDTILE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit
Service Included:
I tems
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
' ,wrng proiect as rubrnltted has tts
;, anrliJbes'not requhe sP€cfb hrtd
ON
(q
2-l 4l aB?$.s r?rr:f A
LEGAL PTION
Q,l*u r
JOB DESCRIPTION
Cos t
$ 8s.00
s 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
rs
Relocat
t
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALT.ATION ONLY
Electrical Contractor
Address P O E ^- ?-t {03
Ciry {t ?e.^t Phone Gt6-ZSa.f
Supervisor License Number 4>tz - s
Expiration Date h
Constr Contr. Number
Expiration Date
S o
Ovners Name
Address Z'7 q I 33.J 9/,
pnr"e 7y' 7- 026Z
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dwelling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs
40L amps to 600 amPS
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
0nIy
Services or Feede
ion, Alteration or
00 amps''or less
10n
201 amps to 400 amps
-
0ver 401 to 600 amPs
0ver 600 amps or 1000-6Fs
Branch Circuits
s 40.00
$ ss.00
$ 80.00
see lrBrt above
D
Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
Nev, Alteration or Extension Per Panel
Each Additional
Circuit or vith Service
or Feeder P"trJt- -.r- $ 2.OO E
E. Miscellaneous (Service/feeder not included)
-Each instalLation
Pump or irrigation $
Sign/Outline i,ighting- S
Limited Energy/Res $
40.00
40.00
20.00i 36.00
tO
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