HomeMy WebLinkAboutPermit Electrical 1993-11-12225 FIFTE STRBET
SPRTNGFIELD, OREGON 97
INSPECTION RB0UBST: 7
0FFICE: 726-3759
SPFIhlGi-,€LO
Ci ty Job Number
Multi-FamiIy per dwel
Service Included:
1 OF
JOB
Permits are non-transfe le and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2., COI{ITRACf,OR INSTALLATION ONLY
Electrical Contractor
Add ress
Ci Phone
Supervisor License Number
Expiration Date
Constr Con tr. Number
Exoiration Date
Signature of Supervising Electrician
0vners Name
does not require specific land [$Uifficrnrcar,PERI{IT APPLICATIONTho followlng ProJect as submltted hc the
4F#i"?"t"0
26-3769
I
B
c
l\le-&-t$trrctB PEE scEEDuI-E BELov
ntial-Singl eor
ling
I tems
uni t.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
the reo f
Each Manuf'd Home or
-Modular DveIling
Service or Feeder
Cost Sum
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
fnstallation, 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/voIts
Reconnect Only \
Temporary Services or Feeders
InstaIIation, Alteration or Relocation
s s0.00
s 60.00
$100.00
s130.00
$300.00
$ 40.00 @
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps S
0ver 600 amps or 1000 vofTs se
40
55
80
r€
00
00
00
G
Ci ty Phone
OIJNER ALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Omers Sigpature:
ItB. aErove
,D. Branch Cireui ts
Nev, Alteration or Extension Per Pane]
One Circuit $ 35.00
Each Acidi tional
Circui t or vi th Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not inclrrded)
-Each installation
Pump or irrigation
Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
Address K-1?k-$\o\o
s 40.00
s 40.00
s 20.00
s 36.00
5
C'TY OF OFEGO'U
\
RBCEIVBD
CO