HomeMy WebLinkAboutPermit Electrical 1998-11-20spproval.
225 FIFTB STREET
SPRTNGFTELD, 0REGON 974
INSPECTI0N REOUEST z 7ZfuA]tfu
OFFICE: 726-
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ELECTRICAL PBRHIT APPLICATION
Ci ty Job Nurnber g
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lir';r '1. ,,'l,;,',1 ltgms Cost
1000 sq.ft. or less $ 85.00
nach additional 500
sq. ft or portion
thereof S 15.00
Each Hanuf'd Home. or
-Modular'DveIling
Service or Feeder . S 40.00
Services or Feeders
Installation, Alterations
or Relocation:
C
D. Branch Circuits
E
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
-00
The following proietn
zcn!ng, and do€s nol
b
e6 by
ATTE
rtollow
N
inOAR
0090
number tor
952-00
Sum
Permits are znon-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.iTION ONLY B
a
Electrical Contractor
Address
ci
Supervisor L cense Number 1686S
Exp iration Date
Cons tr Con tr. Number 3gLl
Expiration Date 1- t- oo
Signature of Supervising Electrician
200 amps or less
20L amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or IOOO voTts see uB" a66iE-
Phone '1,+t -**l U
00
00
00
00
00
00
$ so.
S eo.
s100.
s 130.
S3oo
40s
Ovners Name
Address
CitV NPhone -b 58------TT-
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
0vners Signature:
DATE:
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 3-Lop
Each Addi tional
Circuit or vith Service
or Feeder Permit I $ 2.00 A,Op
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited Energy/Res
Limited Energy/Comm
3']. oo
t. *5
s
$
$
s
00
00
00
00
40
40
20
36
RECEIVED B
_ct 5
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