HomeMy WebLinkAboutPermit Electrical 1990-09-17C'TY OF OFEGO'V
225 YTrIfl STREET
SPRTNGFTELD, oREGoN 97477
INSPECTION REQIIESTz 726_3769
OPFICE: 726-3759
1. LOCATION OT INSTALI,.ATION
sso Qno ,,te-
I,EGAL DESCRIPTION
JOB DESCRIPTION
t
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI..ATION ONLY
c.,3 1'Q 2on-=
!iPRIltlGFIELO
EI^ECTRICAL PERHIT APPLICATION
Ci ty Job Nunber Qol ls3
3. COI{PI.ETB PEB SCffiDT'tE BELOS
A. Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:
Items Cost
c Temporary Services or Peeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps _
Over 600 amps or 1000 volt s see rrgrr affi
D. Branch Circuits
Nev, Alteration or Extension Per Panel
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 3s.00
Services or Feeders (10 Branch Circuits
included). Installation' Alterations
or Relocation:
100 amps or less
101 amps to 400 amps -F
401 amps to 600 amps _
601 amps to 1000 amps
0ver 1000 amps/vo1ts
Reconnect 0nly
Sutn
lJ-
B
Electrical Con
Address S.r.n1 $ 3s.00
s 60.00
$ 80.00
s130.00
$300.0c
$ 3s.00
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Ci ty (lrtu*rt Phonelu[3 - lto? t
Superviso r License Number /34.r -S
Expiration Date /o-ga
Constr Contr. Number do4Ca (r
Expiration Date lo -Qt
Signature of Supervising Blectrician
O9NER INSTALI..ATION
Name
Add.""s
ci ty-Phone
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT
RECEIVED BY:
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _ $ 36.00
Sign/Outline Lighting_ $ 36.00
Signa} Circuit or
limited energy panel_ $ 36.00
SUBTOTAL OP ABOVE loo *
5Z State Surcharge 3€
TOTAL
P^^*!
$ 3s.00
$ 40.00
$ 80.00
tLI
One Circuit
Tvo to ten Circuits
Each Addt'I ten or
portion thereof
$ 3s.00
$ s0.00
$ 1s.00
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