HomeMy WebLinkAboutPermit Electrical 1994-01-24CITY OF OFEGON'
SPRIi|G}.. J
ELECTRICAT PERHIT CATION225 FIFTE STREET
SPRTNGFTEIJ), OREGoN 97417 City Job Number
4X.PLI
7q,t (o(cINSPECTION REQUESTz 726-3769 A P
opprcE: 726'-3tss , ltr_,ii"I
1.OF
JOB
Permits are non-trans fe ra Ie and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI..ATION ONLY
Electrical Contracto
Address
Phone 441-X"AZU
3. COHPLETE FEE SCEBDI'LE BELOg
..-EB-- . +-**nt"r, *&-ed den t iaI-S ingle or
Multi-FamiIy per duelling unit.
Service Included:
I tems Cos t Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Hodular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterat ions
or Relocation:
s 8s.00
s 15.00
s 40.00
s s0.00
s 60.00
s 100. 00
$130.00
s300.00
$ 40.00
ci
Supervisor L ense Number
200 arnps or less
201 amps to 400 amps
-401 amps to 600 amps
-601. amps to 1000 amps-
Over 1000 amps/voIts
Reconnect 0nIy
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
Over 600 amps or 1000 voTIs
B
C
c b8
Expiration Date o-t-95
Temporary Services or Feeders
Installation, Alteration or Relocarion
i
Constr Contr. Number
Expiration Date
Signa of Supervising ELectrician
0040
55
80
-Each installation
Pump or irrigation S 40.00
Sign/outline Lighting- S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
35.on
i ..15
3[" '7 5
S
s
s
s
.00
.00
ee I'B" aEove
Ovners
Address
cit Phone 3-
OgNER ON
The installation is being made on
property I ovn vhich is nor intended
for sale, Iease or rent.
0rners Signature:
DATE:
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit I S 35.00 3_flOOEach Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not inclrrded)
SI,BTOTAL OF ABOVE
5Z State Surcharge
TOTAL
tn
RBCBIVED
5
I
S