HomeMy WebLinkAboutPermit Electrical 1998-10-22ctT YOF SPF D,OFEG o^t
SPFT'Y(}F'€LO
ices or Feederstion, Alterationstion:
less
i
LICATTON
Cost
$ 85.00
s 15.00
$ 40.00
$ 2.Oo
r not included)
s 40.00
s 40.00
$ 20.00
s 36.00
,
225 FTFrE SAts,EEf,
SPRINGFTEI.D OREGON 97
I}TSPECIIOH RIEOUEST: 7OFHTCE: 7ZG-3159
1 OP
Nev Residential-Single or
Ix}Il;lTill,I$, a"Eiii,g uni t -
f tems
1O@ sq.ft. or lessEach additlonal 500sq. ft or portion
thereof
Each Hanufrd Bome. or
-
Hodular -Dvel.Iing.
Service or FeedEr
er and expirevi thin l8O daysis sus pended for
2. CONTRTCTOR INS-TAIJ^ATION OIILY
Supervlsor License Nunber '-s
Canstr Contr. Nurnber oL
Expiration Date /
.A.
B
Sum
Peroits are non-transf,lf vork is not start€dof lssuance or if vork
180 days.
+amPs
s
s
$
50.00
60.oo
00.001
$130.00
s300.00
*/\ul ,
Expiratio" o"r" to,/t /* O/ffi ct
C. Temporary Servi or Feederstion, Alteration or Relocation
'or less s 40.00to 40O arnps $ 5s.oo4Ol to 600 arps
1@0-vdlTs
$ 80.00
s€e '8. aE6TiE-
Slgnature of Supervising Blectrician
Ovners
Add
cl Phone
The installation is being oade on
property I ovn vhich is not intendedfor sale, Iease or rent.
0urrerS;Signature:
/g s 40.oo
InstaIIa
&1^,0"
201 a.nps
or
o.in /aw
tg
ds
or
E. Hiscellaneous (I
-Each installation
Pump or irrigation
Sign/Out1ine Light lng
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
)z
DATE:
@
Electrical Contrac
Address
ct Phone b-
rc, \ruis LlzM
Per Panel
35.00
U,