HomeMy WebLinkAboutPermit Electrical 1992-04-29CITY OF
SI"It,\|GFIEL(,
*.
1.
l8
225 FIFTE SlREEf,
SPRTNGFTELD, OREGoN 97477
INSPEcf,IoN RE0UESTT 726-3769
OFFICE: 726-3759
BIJCTRICAL PERHIT APPLICATION
City Job Number
3. COI{PI,BTE PBE SCHEDUI^E BBLOV
A Nev Residential-Single or
Multl-Famlly per dvelling unit.
Service Included:
I tems Cost
$ 85.00
$ 1s.00
$ 40.00
f B'fi f ET4hlrt'11'ltT:.
Erectricar contrac,o.L' R bP*glaWrn
Sum
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI|TRA TOR INSTALI,ATION ONIY
.1 , 1000 so.ft. or less
0k15. Each "dditior,"l soo
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling' Service or Feeder
Addres ul t/
ci pnone741 bb38
Supervisor License Ntimber l4r ss
Expiration Date
constr contr. Number q,bqq
Expiration Date lA,tg qA
Signa ture of Supervising Eleetrieian
Owners
Address l$19
B.Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less --L-201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see I'Bil above
'31.4r I $ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
=
t
/o
c
l^City -J Phone 1tl q$bb
D
OTINER INSTALTATION
The instaLlation is being made on
property I own vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
RECEIPT
RECEIVED
One Ci.rcuit S 35.00
Each Additional
Circuit or vith Service
orFeederPermit A $ 2.00 @
E Miscellaneous (Service/feeder
-Each installation
Ptrmp or irrigation $
Sign/Out1ine Lighting_ $
Limited Energy/Res _ $
not included)
40.00
40.00
20.00
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
I
5 5+,00
t aa