HomeMy WebLinkAboutPermit Electrical 1994-03-17225 FIFTE STRBBT
SPRII{GFIEU), OREGoN 97477
INSPBCTION RBQUEST: 726-3
OPFICB: 726-3759
1. LOCATION OT
5r
LEGAL
/7€> -Ve1??-rorc>
DESCRTPIION
n -ql{ 3
1.,
COHPLETE FEB SCEBDUI,E BELOS
r. '
idential-SingJ.e or
SPRTNGFIELO
APPLICATION
Multi-Family Per dwelling unit.
Service Included:Items Cost Sum
$ Bs.0o
s
fr
e
1000
Each
sq
ad
.ft. or less
ditional 500
permits are non-transferable and expi
if vork is not started within 180 day
of lssuance or lf vork is suspended f
180 days.
2. COIII?ACTOR INSTALI,ATION ONLY
Electrical Contracto
Address F
Expiration Date
Constr Contr. Nun 'ber 4A 7,-D
Exp
Signature of Supervising Blectrician
0mers Name
Address
Ci ty Phone
OVNER
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
0rners Sigpature:
DATB:
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
tr Relocation:
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
-
Reconnect 0nIY
c
s
or
$ 1s.00
$ 40.00
.&o.
cttvf7 . -/r- Phonery'.? '- {J-/{
Supervisor Licen-se Number 76f {
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
iration Date 200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
over 600 amps or 1000 voT[
$40
$ss
$80s see
.00
.00
.00uBu affi
a D. Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited Energy/Comm
SIIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
$
$
$
s
40. 00
40. 00
20. 00
36.00
"Z.dO'---z=-E-e--
CITY OF SPR OREGO'V
RBCEIVED
q 5
<-?--k1>-
*/