HomeMy WebLinkAboutPermit Electrical 1995-01-23OFEGO'VCITY OF
JOB
Permits are non-transferahle and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION-ONLY
Electrical Contract
Address
Ci ty Phone
Supervisor
Expi rat ion
Constr Con
cense Number
tr. Number
iration Date
SPFIa.GFIELD
u9e
ELECTRICAL PERI{IT
City Job Number
FEE SCEED{ILE BELOIJ
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hoddlar 'Dve1ling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
The tollowing project ae submitted has the
idnirs, ild?bes not reguire specific land
approval.\.riIJ225 FITfn SIREET
SPRINGFTEI^D, oREGoN 97
INSPB(f,ION REQUBST: 7
OFPICE: 726-3759 Authorized Signatu
1. LOCATION OFJ,tD .nr \
b
ea
A
Sum
B
200 amps or
201 amPs to
40L amps to
601 amps to
Over 1000
Reconnect
/voIts
$ s0.00
$ 60.00
$100.00
$130.00
$300.00s 40.00
s 3s.00
Iess
400 amps
600 amPs
1000 amps
4 lry\
amps
0nIy
Date Temoorary Services or Feeders -irtl.fi.iior, Alteration or Relocation
2oo amps or ress i 19'9qioi ffi; io aoo amps -- i :I'990;;'161 io ooo amls -l $ Bo'oo
Over 600 amps or rboOETts see uBu a666
Branch Circuits ' "
Nev, Alteration or Extension Per Panel
Exp
Signa ture of
Ovners N
Address
Ci ty
DATE:
Electrician
r-,t"
c.
D.
One Circuit
OIINER INSTALLATION
rh"."l?b'3blP)Each Additional-Circuit or vith Serviq4
or Feeder Permit SJLJ
Miscellaneous (Service/feede
-Each installation
Pump or irrigation
Sien/OutIine Lighting-
I-imi ted EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
$
r
2.oo tM
not included)
40.00
40.00
20.00
36.00
The installation is being made on
Droperty I ovn vhich is not intended
ior'sale, lease or rent'
Ovners Signature:
E
s
$
$
$
'/
RECEIVED
5
CO
3r
t