HomeMy WebLinkAboutPermit Electrical 1994-01-25t.,r,, ,CITY OF
225 wnr srREEr : ':i
SPRINGPTELD, OREGON 97477
INSPEcf,f0N REOUEST: 126-3769i0PPICE: 726-3759 - I
SPRTHCF!ELD
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf,d Home or
-Hodular Dvelling
Servlce or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
@
ELECTRTCAL PERHIT APPLICATION
City Job Number
3 COHPI^ETE PEE SCEEDT.ILE BELOU1
IJGAL DESCRTPTTON
Nev Residential-Single orHuIti-FamiIy per avElting unit.Service Included:
I tems Cos t
)
A
B
Sum
JOB
Perml ts are -transferable and e xpi reif vork is not started vithln 180 daysof lssuairce or lf vork is suspend ed for180 days.
2. CONTNACf,ON INSTALIJITrON ONI,Y
ElecLrlcal Contractor LL
Address 3170 WFST 1lTH AVENUE
ci FIIGFNF Phone GR7-1R81
Supervisor Llcense Number 980S
Explration Date 10/1/95 ,,
Constr Contr. Number 11;ii
Expiratlon Date 4/28/94
of Su rvlsing trician
?-
Owners
Address
ci Phone
OIINER INSTALI,ATION
The installatioir is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Osners Signature:
DATE:
C. Temporary Services or-FeedersInstallation, Alteratlon or Relocation
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconnect Only
200 amps or less / S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voT[s see *B'l
&
-Each installation
Pump or irrigation
sign/0utline Lighting-
Limited Energy/Res
Llmited Energy/Comm
$ 8s.00
$ 1s.00
$ 40.00
affiE-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circui t or r.ri th Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
s s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
s 40.00
$ 40.00
s 20.00
$ 36.00
5. SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
RBCEIVED
@