HomeMy WebLinkAboutPermit Electrical 1991-10-22YOF
225 PTYTE SMEET
SPRINGPTELD, 0RBGoN 97477
INSPBCTIOT{ REQITBSTI 726-3769
0PPICE: 726-3759
1 OP INSTALI.ATION
IJGAL DESCRIPTION
. JOB &u-vaJa+- -1runfu*,
Permlts are non-transferable and expirelf vork is not started vlthin 180 daysof issuance or if vork is suspended for
180 days.
2. CO}TTRACTOR INSTALI.ATION ONLY
Electrical Contractor
Address 8
sr,ruNGFtELo
2ca
COHPI,BTE PBE
SI,BTOTAL OT ABOVE
5Z State Surcharge
TOTAL
BLBCTRICAL PERHTT APPLTCATION
City Job Number 2ZeEZ
%(
3
7////88
BELOg
cit pnonel4l - A),3 6
Supervlsor Llcense Ntimber IA86S
Expiration Date
Constr Contr. Nunber
Signature of Supervlslng Blectrician
Ovners Nanie
Address
ci ty.1) nrumn lr; I ot 1 Phone rl N- 3b tb
A. Nev Residential-Single or
Hulti-FamiIy per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or FeedersInstallation, Alterations or
Relocation:
200 amps or less
201 amps to 400 arps
-401 amps to 600 amps
-601 amps to 1000 amps
over 1000 amps/voLts
-Reconnect Only
C. Temporary Services or FeedersInstallatlon, Alteration or Relocation
B
Sum
4,o,
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less $ 40.00
201 amps to 400 amps
-
g 55.00
over 401 to 600 amps
-
g BO.O0
0ver 600 amps or 1000 volfs see uBu aB6if
-t-
OIINER *gr*r*-
D. Branch Circults
Nev, Alteration or Extenslon Per panel
One Circui t I s 3s.oo 35, oo
Each Additional
Circuit or vith Service
or Feeder permit k S Z.0O
E.The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0mers Signature:
DATE:
RECEIPI T:
Miscellaneous (Service/feeder not included)
-Each installation
Ptrmp or i rriga t i on $Sign/0utIine Lighting- $Limited Energy/Res
-
$Limited Energy/Comm S
00
00
00
00
40.
40
20
36
5
RECEIVED BY:
ln - t-q L-
Expiration Date q -l -qL)