HomeMy WebLinkAboutPermit Electrical 1996-03-06CITY OF SPF"VGFIELD,OBEGO'U
SPFl''{GFIELO
225 gl,Hfg SlTBEf,
SPRTNGEIEI^D, OREGoN 97477 rrj,r
INSPBCTION RBQUBSf,T 726-3T69'
OFPICE: 7 7
1 LOCATION
.?Z u
Electrical Contractor
Address ao
Ovners Name
Address
Ci ty
OgNER ALI.ATION
DATE:
zoning, and does not roquiro specilic land
approval.
fi ,n2-
r
an
A
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
J01 amPs to 400 amPs
-0ver 1000 amPs/volts
-
Reconnect OnIY
c.
EIJCTRICAL PERHIT APPLICATION
City Job Number
BBLOV
Nev Residential-Single or
HuIti-Family Per dwelling unit.
Service Included:
I tems Cos t
$ 8s.00
$ 15.00
$ 40.00
Sum
permits are non-transferable and expire
if vork is not started vithin 180 days
of l""r"nce or if work ls suspended for
180 days.
2. COITTRACTOR INSTALI,ATION ONLY
r-1'$rv,Z^AilJZ ?./g-r{4Phone
Phone
$ s0.
S 60.
$100.
$ 130.
$300.
$ 40.
00
00
00
00
00
00Supervisor Licen-se Number 77y'1p;
Expiration Date
Constr Contr. Number 6
Expiration Date
Slgnature of SuPervlsing
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or less $ 40.00
over 4bt to 600 amps
-
$ 80.00
0ver 600 amps or fbOO voTts see *Bu aEffi
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
e""n eaaitional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Light ing-
Limited EnergY/Res
D
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0rners Signature:
E
s 40.00
$ 40.00
$ 20.00
$ 36.00 77-_->e
RECEIVED
5.SUBTOTAL OF ABOVE
fi x^t" surcharge
TOTAL
-*T3#e
I