HomeMy WebLinkAboutPermit Electrical 1994-02-11OREGO'VCITY OF
225 YTETfl SITBEf,
SPRINGPIELD, OREGoN 974
INSPECf,ION REOTIEST:
OBPICE: 726-3759
1.
Permits are non-tr ferable and expire
if vork is
of issuanc
180 days.
not star ted vithin 180 days
e or if vork is susPended for
. COITTRACTOR INSTALI.ATION ONLI
trical Contractor
Addres
Ci ty
Supervisor Li
SPRII\lGFIELEl
726-3769 Toni L City Job Nunber
. E..t. 2 -tl -4'-l 3. coHpLRrB FBE scmDUIa BELov
A. Nev Res entlal-Single or
fhg fntlnudnq orolec't as auhmltta.l haa the
Zonl,-,,j. i..'J coec not leqrii,e s;:'.:-ific isnd 'ffl,scrRrcAl, PERt{rr APPLTcATToN
.7fPPr<:vel'q+Dl 3q
Expiration Dat
Constr Con Number
Expira Date
ture of Supervlsing E1ect an
0wners Name
Address (
Ci ty Phone
OgNER
DATE:
C.Temporary Services or'Feeders
Insiallation, Alteration or Relocation
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Servlce or Feeder
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t
B
)D.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less i
201 amps to 400 amps
-401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect OniY
MuIti-FamiIy per dvelling unit.
Service Included:
/\
Items Cost Sum
$ 8s.00
$ 40.00
50.00
60.00
100.00
40.00
5s.00
80.00
ee ilBil aSoF
$ 3s.00
$ 2.00
$
$
$
$301
=
r $300
$40
s
$
$
s
00
00
00
a
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amPs
0ver 600 amps or 1000ETls
Branch Circuits
Nev, Alteration or Extension Per Panel
-)L
The installation is being made on
piop"tty I own r*'hich is not intended
for sale, lease or rent'
E.
5. SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
Miscellaneous (Service/feeder no'
-Each instaflation
Pump or irrigation $ 40
signzoutline Lightins- q 19
t iilited Energy/Res
-
$ 20
t included)
.00
.00
.00
.00
RBCEIVED B
ture:
t