HomeMy WebLinkAboutPermit Electrical 1993-02-03Y OF SPF"UGFIELD, OBEGO'U
225 FTFTE STREEf,
SPRTNGFTELJ, oREGoN 97477
INSPECTION REQUESTz 726-3769
OFPICE: 726-3759
1
PERHTT APPLICATION
City Job Number q \A#
^(nTa-1-?3 t-
fiS
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.ATION OM,Y
Electrical Contract
Address q
Ci ty ruLPhone t t 3
COHPLETB PEE SCEEDUIJ BELOV
Nev Residential-Single or
HuIti-Family 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
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
c.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
onecircuit I S35.oo
Each Additional
Circuit or vith Service,
or Feeder permit I $ 2.00
\ffLWfiU*c8r Sum
ffi
*'n
38A
$ so.oo
$ 50.00
$100.00
$130.00
$300.00
$ 40.00
Supervisor cense Ndmber
Expiration Date \0 \
Constr Contr. Number E\
Expiration Date 5
si ture Electrician
rs Name
Address
Ci ty Phone
OIINER
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
DATE:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B'r above
3*0,\1,q
35
E. Hiseellaneous (Service/feeder not included)
-Each installation
Ptrmp or irrigation
Sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
S1ETOTAL OP ABOVB
5Z State Surcharge
TOTAL
s
s
s
$
40.
40.
20.
36.
00
00
00
00
RECEIVED
5 M
4