HomeMy WebLinkAboutPermit Electrical 1994-10-29OREGO'VCITY. OF
225 FTYtg, STREBT
SPRTNGFTELD, OREGoN 97477
INSPECTTON RXQIIESTz 726-3769
OFFICE: 726-3759
1. LOCATION OF TNSTALLATION
3
A
SPh -:FIELD
EI,ECTB CAL PERHIT APPLICATION
City Job Nunber L(lu
COUPI,ETB FEE SCMDUI,E BBLOS
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ Bs.oo
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
Sum)ozq
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of i..r"tce or if vork is suspended for
180 days.
2. COI\ITRACTOR INSTALTATTON ONLY B
EIectrical, Contractor Son i trol Secur i ty
Address P.O. Box 21009
Ci ty Euqene Phone 461 -5678
Supervisor License Number lTgO J-LE,
Expirat ion Date /D - t-q6
Constr Contr. Number 65149
Exp iration Date 6-28-96
Signature of Supervising Electrician
nn .,].,A r!'l .r'k "^,rt
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20L amps to 400 amps
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect Only
200 amps
201 amps
Over 401
Over 600
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
50. 00
60.00
00.00
30. 00
300.00
40. 00
1
1
$
$
$
$
$
$
C
or less $ 40.00
to 4oo amps
-
S 55.00
-
to 600 amps
-
g 80.00
-
amps or 1000 vol-Is see "Bu abive-
Ovners Name
Address & rn e
Ci ty Phone a44 -Df//
OYNER INSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for safe. Iease or rent.
Owners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional-
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each install-ation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
-
s 40.00
$ 40.00
s 20.00
s 36.00 w
5
DATE:0 I
o
RECETVED B 38 98
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