HomeMy WebLinkAboutPermit Electrical 1997-05-06C'TY OF OREGO'U
225 F]:r'TE STRBET
i
SPRTNGPTELD, oREGoN 97477
SPRtNC.. 'ELO
iaI-Single orper'dvelling unit.
uded:
Items Cost
INSPECTI0N REOI.rEST z 726-3769
OFPICE: 726-3759
EI-ECTRI CAT PERHIT APPLICATION
City Job Nunber 41010 t
PEE SCEEDULE BELOV1. LOCATTON
JOB
;..5-U
n_3
B
C
Nev Resident
Service fncl
1/1,{D Sum
PTION 1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Service or Feeder
Services or FeedersInstaIIation, Alterationsor Relocation:
$ 8s.00
$ 1s.00
s 40.00
$ s0.00
s 60.00
s 100.00
s130.00
s300.00
$ 40.00
.00
.00
.00ilB'r a6otE-
$ 2.oo
not included)
40.00
40. 00
20.0036.00 L.7--
permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or lf vork ls suspended for
180 days
2. COTITRACTOR INSTALI.ATION ONLY
Electrical Contract
Add ress UK,<ob
Ci Phone ''o 5z
Supervisor License Number A(SO "r'
Expiration Date
Expiration,Date
Signature of Supervising Electrician
c me
Add ress
Ci ty ne
OVNER INST
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Omers Signature:
DATE:
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
Temporary Services or Feedersfnstallation, Alteratlon or Relocation
200 amps or less
20L amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000E-ITs
E. Miscellaneous (Service/feeder
-Each i ns talla t i cin .
Pump or i rriga t ion SSign/0ut1ine Lighting- SLimi ted Energy/Res
-
SLimi ted Energy/Comm v $
SI.IBTOTAI OP A]}OVE
5Z State Surcharge
TOTAL
Sao
Sss
$80
see
D. Branch Circuits
d)Nev, Alteration or Extension per panel
One Circui t
Each Additional-
Circui t or vi th Serviceor Feeder Permi t
s 35.00
5
RECEIVED
/?q
Constr Contr. Number 0Uq