HomeMy WebLinkAboutPermit Electrical 1993-05-20C'TY OF OREGO'U
SP'r.,{GFIELE,
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225 PIYTE STREET
SPRTNGFIELD, oREGON 97477
INSPECTTON REOUEST. 726-3769
0PPICE: 726-3759
1. LOCATION OF TTON
ELECf,RTCAL PERXIT APPLTCATION
City Job Nunber
COHPI..ETB PEE SCEEDUI.J BELOS
Nev Residential-Sing1e orHuIti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Hanuf,d Home or
-
Hodular Dwelling
Service or Feeder
s 8s.00
$ ls.00
s 40.00
B. Services or FeedersInstaIIation, Alterations
/t^ t or Relocation:
s l" 115
cc
o
w A
DESCRTPTION
JOB DBSCRIPTION
f,lectrical Contractor
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended ior
180 days.
2. CO}ITRACTOR INSTALI,ATION OM,I
Sum
(/)
Address
City fr:S a,r.,(Phone z'F 7 -2)o z
Super:eisor License Number
Expiration Date
Constr Contr. Number o o
Sxpiration Date
Signature of ctrician
C. Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/voIts
-Reconnect on1y
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
-
Zo
s s0.00
s 60.00
s100. 00
$ 130. 00
s300. 00
s 40.00
$ ao.
S ss.
$ so.
00
00
00
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
0ver 600 amps or 1000 vo'ITs see figrr
"f,f,fi
Branch Circuits
Nev, Alteration or Extension per panel
one Circuit S 35.00Each Addi tionalCircuit or vith Serviceor Feeder Permit S .2.00
SUBTOTAL OP ABOVB
5tr State Surcharge
TOTAL
Hiscellaneous (Service/feeder not included)-Each installation
Pump or irrigation S 40.00
!isn/outline Lighting- S 40.00Llmited Energy/Res
-
S 20.00Lini ted Energy/Comm .< S 36. O0 7z,
DrsN
Address
Ci ty
OVNER
one
TTON
B
DATB:I -ZD
RBCEI1IBD
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