HomeMy WebLinkAboutPermit Electrical 1991-10-14qTY OF oru
225 FIFTE STRBEI
SPRINGFTELD, oRBGoN 97477
INSPBCf,ION REQIESTI 726-3769
0PPICE: 726-3759
1 or
Perrnits are non-transfera and expirelf vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI|TRASTOR INSTALI.ATION ONLY
Electrical Contractor
Address
ci Phone
Supervisor License Ntimber
Expi ration Date
Constr Contr. Nu*bet-
Expiration Date
Signature of Supervislng Blectrician
Owners
Address
Ci ty Phone
OIINER
st'rilNGFtr:Lo
COHPI.ATE FEB SCHEDULE BELOU
Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home or
Hodular DweIIing
Service or Feeder
$ 8s.oo
$ 1s.00
$ 40.00
S'ervices or t'eeders
Installation, Alterations or
Relocation:
?ie
ELBCTRICAL PERHTT APPLTCATION
city Job Nunber q \ \?nL
3
A
pf,
Sum
B
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0nly
200 amps or less
201 amps to 400 amps
-
Over 401 to 600 amPs
-
0ver 600 amPS or 1000 volts
g-
I
$ s0.00
$ 60.00
$100.00
$130.oo
$300.00
$ 40.00
c Temporary Services or Feeders
Installatlon, Alteration or Relocation
40.00
55.00
80.00
ee ilBtr above
s
$
$
s
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
-
$ 3s.oo
E. HiscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lightin
Limited EnergY/Res
Limited EnergY/Comm
5. STETOTAL OF ABOVB
5Z State Surcharge
TOTAL
$ 2.00
The installatlon is being made on
property I own vhich is not intended
for sale, Iease or rent.$
$
$
$
=
40.00
40.00
20.00
36.00Ovners Signature:
RECEIPT
RECBIVED BY:
ry)
I