HomeMy WebLinkAboutPermit Electrical 1995-03-10-OREGO'VC'TY OF
225 FIFIE STREET
SPRINGFIELD, OREGON 97 477
INSPECTION REQUESTs 726-3769
OFFICE: 726-3759
1. LOCATTON.INSTALLATIONo,,DK
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi ii"u."ce or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTALI,ATION ONLY
ElectricalrContractor Soni trol Secur i ty
Address P.O.Box 21 009
City Euqene Phone 461 -5678
Supervisor License Numbe r /b8 9R'ET
Expiration Date /o- I - g(.
Constr Cont r. Number 651 49
Expi ra t ion Date 6-28-96
Signat of Supervi trician
0vners Name
SPl. -,;FIELD
EIJCTRICAL PERUIT APPLICATION
Ci ty Job Number
3. COUPLBTE FBE SCMDUTE BBLOII
A. Nev Residential-Sing1e or
Multi-FamilY Per dvelling unit
Service Included:
Items Cos t
$ 8s.00
Sum
B
1-000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular DveIIing
Service or Feeder
Services or Feeders
Ins ta1lat ion, Al ter:at ions
or Relocation:
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amps
-
601 amps to 1000 amPS-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
s 1s.00
$ 40.00
$ s0. oo
$ 60.00
$10o. oo
s130.00
s300.00
s 40.00
00
s 40.00
$ 40.00
s 20.00
$ 36.00
/ o8,3g.ss
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent'
C Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane}
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
$ 35.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited Energy/Comm I tu
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
3b /J7)
$
$
$
s
00
00
00
4o
55
BO
aEoveilBee
Address
Ci ty Phone
2$
E
Ovners Signature:
DATE:
RECEIVED
r 5
€n 5i3
200 amps or l-essior .rp" to 400 amPs
-Over 401 to 600 amPs
over 600 amPs or 1000loTIs