HomeMy WebLinkAboutPermit Electrical 1994-06-07OFEG O'UTY OF
225 YLYIB STREET
irnrxcrrglD, oREGoN 97471
nrCrscrrou nroussf, z 726-3769
OFETCE: 726-3759
SPfiINGFIELO
BI..ECTRICAL PERHIT APPLICATION
City Job Number
1 I^OCATION OP
DESCRIPTIOII
Pernlts are non-transferable and
lf vork ls not started vlthln 180 d
'of lssuance or lf vork ls susPended for
'180 days.
Address
ci Phone 7(7
^c87
COHPI,ETE TEE SCEEDUIA BELOU
Nev Resldentlal-Single or
Hultl-FamtIY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less $ 85'00
Each additional 500
sq. ft or portlon
thereof $ 15'oo
3.
A
Sum
Each l{anuf'd llome or
Modular Dvelling
Servlce or Feeder
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Supervisor Llcense Number
ExP iration Date rti-./L
Constr Contr. Number 7 7c;5-
Expi tatlon Date 1C ..'r''(
$ 40.00
2. coNrnActoR INSIALLATIoN oNLY B' ff:Uii:.i;.:Ti;:iationsr5Electrlcal ContracorJAt( i)r&cl/fun{i /v: or Relocation:
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-#cra
srS 1-- 5
Slgrrature of Supervlslng Electrician
':).r',r /< dn,,. /'{
200 amps or less
201 amps to !00 amps
-Over 401 to 600 amps
over 600 amps or tbOOT6fts
Branch Circuits
c
5. SUBTOTAL OP-ABOVB
5Z'State Surchhrge
I0rAt
Temporary Services or'Feeders
Installation, Alteration or Relocation
40
55
80
$
$
$
see It
00
00
00
Bn affi
!
Ovner s
New, Alteratlon or Extension Per Panel
Address
c1
OSNER
0trners Slgnature3
Phone -'/One Clrcult
Each Additional
Circuit or vith Service
or Feeder Permit ' z
$ 35.00
$ 2.oo /--
The. lnstallatloir ls belrig uade onproperty.f om yhich ls not intendedfor iale, 'lease of rent.
B. Hlscellaneous (Servlce/feeder not included)
-Each lnstallation
Puinp or lrrigatlon
Slgn/Outltnb Lighttng-
L-lrnited Energy/Res
Llmlted Energy/Comm
: l.
$ 40.00
$ 40.00
s ,20.00
$ 36.00
f/.Glat
DATE:
RECEIVED +306 Admin Fl<_
2.>f,.P
IJGAT DESCRIPTION'?9?-,2/'?2*4ZOd!