HomeMy WebLinkAboutBuilding Electrical 1993-05-17SPrl'AfGF'ELO
CITY OF ONEGON
225 FTFIH STRBBT
SPRTNGFTEID, ORBGON 97477
INSPECf,I0N BEQT ESTz 726-3769
OFFICB: 72,6-3759
ELBCTRICAL PERHIT APPLICATION
City Job Nunber
3. COHPI.,ETB PEE SCMDULE BELOU
New Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular DvelIing
Service or Feeder
s 8s.00
$ ls.00
$ 40.00
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 0nIY
C
%
200 amps or less
20L amps to 400 amPs
-0ver 401 to 600 amPs
Over 600 amps or 1000-vo[s
LOR
1.
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. CONTRAC;TOR INSTALI,ATION ONLT
Blectrical Contrac
Addr
5l n lqi
rician
A
B
Sum
40.00
55.00
80.00
ee rrBrr aEove
Ci ty Phone 100
130
300
40
$
s
$
s
$
$
s
$
$
s
00
00
00
00
00
00
50.
60.
Supervisor se Number
Expiration Date
Constr Contr. Number
Expiration Date
Si gna ture of SuPervis
rs
Address
Ci Phone
Temporary Services or'Feeders
Insiallation, Alteration or Relocation
D Branch Circuits
New, Alteration or Extension Per Panel
OneCircuit J $35'OO
Each Additional
Circuit or vith Service
or Feeder Permit $ '2'00
r 4(JJ
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature: ..
Miseellaneous (Service/feeder
-Each installation
Pump or irrigation S
ilenZoutline Lighting- q
t iilitea Energy/Res -- - S
E not included)
40.00
40.00
20.00
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTALDATE:
RECEIVBD
5
oo
q-