HomeMy WebLinkAboutPermit Electrical 1997-03-20225 ETFTB STTEET
SIB,INGEISU), oREGON
INSPBCTION RBOTIEST:
OPEICE: '726-3759
I 0r A. Nev Resldentlal-Single or
HuItl-FamlIY Per dvelling unit'
Service Included:
JOB DBSCRIPIION
0> 3) 43 O'7'z O t Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular DveIIing
Servlce or Feeder
Services or Feeders
fnstallation, Alterations
or Relocation:
200 amps or less
ZOf .rpt to 400 amPs
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0nlY
Cos t
$ 8s.oo
s 15.00
$ 40.00
s s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
Sum
a56F
Alarm Ins allatlon
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
Address I50l Peerl St -
City Eueene Phone (54t) :az-t r13
Supervisor License Numbe r94 g .II,E
Exp iration Date
Con str Contr. Number s99 tt tl
Expiration Da te 04/29197
Slgnature of sing Electrician
0vners Name
eddress 541 Jl^ 4L+'g.
Ci ty Phone "laL -
INSTALI,ATION
TemporarY Services or'Feeders
Insiallaiion, Alteration or Relocation
200 amps or less
201 amps to 400 amPs
-
0ver 401 to 600 amPs
-
0ver 600 amps or 1000 volts
B
c.
s 40.00
$ 5s.00
$ 80.00
see rtBr'
IF 2
l.'1
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utIine Lighting-
Limited EnergY/Res I
Limited Energy/Comm
STETOTAL OT ABOVE
5Z State Surcharge
TOTAL
s 40.00
s 40.00
s 20.00
$ 36.00
DATE:
CITY OF SPF"VGFIELD, OFEG orv
RECEIVED B
-7
5 io. c,{)
')5. oo
:.: t, .. .r_i'ti
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi t""r"nce or lf vork ls suspended for
180 days.
2. COI,ITRACTOR INSTALI,ATION ONLY
Electrical Contractor ADT Securi!y Sysrems
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