HomeMy WebLinkAboutPermit Electrical 1990-11-06C,'TY OF OREGO'U
225 PIFTE STREET
SPRTNGFTELD, OREGON 97477
INSPBCIION REQTBSTz 726-3769
0FFICE: 726-3759
1. LOCATION OP
SPFINGFTELO
BIJCTRICAL PERHIT APPLICATION
Ci ty Job Number
3. COHPI,BTB PEB SCEEDUI,B BELOS
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1500 sq.ft. or less $ 85.00
Each additional 500 .sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 35.00
Services or Peeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps -7
401 amps to 600 amps _
601 amps to 1000 amps
Over i000 amps/vo1ts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
St'SOr,/
LEGAL DESCRIPTION
JOB DESCRIPTION
C t'{.+r.uo{ O;v {4=
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI,ATION ONLY B
EIec t rical Contractor p-tD'cxrouZ- i'ttctruaz-
Address €tr-AO* tiSZ-
Ci ty Phone b7\'z ?7'?
Supervisor License Numbe ,/4 s.l s
Expiration Date
Constr Contr. Number e5-t
Expiration Date ok Icc q
ture of Supervi trician
eA [;
O9NER INSTALI.ATION
Name
Addr"""
ci ty-Phone
The installation is being made on
property I ovn vhieh is not intended
for sale, lease or rent.
0vners Signature:
DATB:
200 amps or less $ 35.00
over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see "8" above
Sutn
$
s
$
$
$
$
35.
60.
80.
00
00
00
00
00
00
blfy
130
300
35
D. Branch Clrcuits
Nev, Alteration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each Addt'l ten or
portion thereof
E Miscellaneous (Service/feeder not included)
-Eaeh installation
Pump or irrigation _ $ 36.00
Sign/Outline Lighting_ S 36.00
Signal Circuit or
limited energy panel S 36.00
$ 3s.00
$ s0.00
$ 1s.00
5. SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
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RECEIVED BY:
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