HomeMy WebLinkAboutPermit Electrical 1991-10-21CITY
SI'tI!NGFIEL(,
225 FIFTB STREET
SPRINGFTELD, ORBGoN 97477
INSPECTI0N RBQUESTz 726-3169
0FFTCE: 726-3759
1 OP
BI,ECTRICAL PERHTT APPLICATION
City Job xurb". Q / /.?.y'9
3. COHPLETE FBE SCHEDULE BETOII
A. Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portionthereof g 15.00
Each Manufrd Home or
-Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders2. COIfrRASIOR INSTALI,ATION ONLY
1 Contractor L,
ttilfurn t(
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LBGAT DESCRIPIION
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Phone 7 41 ,lo(!sg
Sum
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Permits are non-transferable and expireif vork is not started vithin 180 dlysof issuance or if vork is suspended for
180 days.
Electrica
qHy"!:a
Supervisor License Ntimber '135
la-t-qx
Installation, Alterations or
L. Relocation:
200 amps or less I201 amps to 400 amps
-401 amps to 600 amps
-
l
601 amps to 1000 amps- l
over 1000 amps/volts
-
I
Reconnect Only i
$ s0.00
$ 60.00
$L00.00
$130.00
$300.00
$ 40.00
50,a0
Expiration Date
Constr Contr. Number
Expiration Date
Signa ture of Supervi
Ovners n6 R
Address bq
.t., 5p RtlJ6flfl.[rnone 141 -01i.,3
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less
20L amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000 volTs see uBn aBiIE
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneons (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/0utIine Lighting- $Limited Energy/Res
-
$Limited Energy/Comm $
STIBTOTAL OF ABOVE
5X State Surcharge
TOTAL
gwq
-lg
s trician
$ 40.00
$ ss.00
$ 80.00
T - ---
OIINER INSTALI,ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, Iease or rent.
0rners Signature:
DATE:lfr'lr -ar r
RBCEIPT *:3 rt"Sc.l
40.00
40. o0
20. 00
36. 00
5
RECEMD BY: rQb
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