HomeMy WebLinkAboutPermit Electrical 1994-05-24'.4
2.25 ITII."TII STRI.:I:.7
SPIUNGFIELT)' OIIEGON 97lr
INSPECTION REQUIIST | 77
oFPICE: 72.6-3159
1
rTION
approval.
7.7
^,-.^zodng l'*
" iJ,!b-zca+City Job Number
COHPLBTE IIBB SCIIEDULE BELOV
A. Nev Residential-Single or
HuIti-FamiIY Per dvelling unit'
Service Included:
Items Cost
,-^ J5,6
ab
+
_l_
The lollowing Proiect as submlttcd ha* r!'1 ' ':r'iwifig
zoning, and does not require ePeci{ic ia.
5a.rilNGl:rr:LU
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
the reo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
5. SI'BTOTAL OF ADOVB
5f State Surcharge
TOTAI.
ELBCTRICAL P EITHIT APPLICATION
q
Pcrnri ts are non-transfcrabl'e and expire
if vork is not started vlthin 180 days
o[ issttance or if vork ls suspended for
180 days.
2. CO}rI?ACf,OR INSTALI.ATION ONLY
Iilcctrical Cont rac tor
Adcl r:ess
B. Services or Feeders
Installatlon, Alteratlons or
z Relocation:
200 amps or less
201 anrps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0nlY
C
$ 8s.00
$ 1s.00
$ 40.00
Sum
%
\5
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Ci ry
Supe rv i sor i cense Ntimber
Iixpi ra t ion Da te ID
constr contr. Number
*-]
Iixpiration Date lo o
Signatu fSu ]'S1ng ctrician
Ovners Name
A<ld res
Ci ty J)ne
ALLATION
The instaLlation is being made on
property I own vhich is not interrded
for sale, Iease or rent.
0vners Signaturc:
DATE:
RECEIPT
Temporary Services or Feeders
Insiallatlon, Alteratlon or Relocation
(q4 200 amps or less
20L amps to 400 amPs
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 volt
$
$
,$ss
40.00
55.00
BO. OO
ee nBrr a566
D. Branch Clrcuits
Nev, Alteratlon or Extenslon Per Panel
one circuit $ 35'00
Each Addi t ional
Circuit or vith Service
or Feeder Permi t
-
$ 2. 00
E l'liscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Ou tI ine Ligh t ing-
Limi ted EnergY/Res
Limi ted Energy/Comm
$ 40.
$ 40.
$ 20.
s 36.
00
00
00
00
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