HomeMy WebLinkAboutPermit Electrical 1994-07-28CITY OF OBEGO'V
225 FIFTE STREET
SPRINGFIELD OREGON 97477
INSPEC"IION REQI]EST:ryP1ZtraOFFICE: 126-3759 Authorirecj
1.rNST
DESCRIPTION
Permits are non-transferable and exp lre
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
ELECTRICAL PERI{IT APPLICATION
Ci ty Job Nunber
COHPLBTE FEE SCEEDULE BEtOg
Nev Residential-Single or
Multi-Family per dvelli.ng unit.
Serviee Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps
-
60L amps to 1000 amPs-
0ver 1000 amps/vo1ts
Reconnect Oniy
The.foltowing profect
zcrnlng, and does not
as submitted hes the following
approvel.roguire specific land IJSE
SPIIIi.GFIELO
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
Dz
A
Sum
Ci ty Phone 7Zz'782q
B
c.
$ s0.00
s 60.00
$100.00
$130. 0o
$300.00
s 40.00
$
$
$
s
Supervisor License Number
Expiratlon Date /o -o/-q"/-
Constr Contr. Number
Expiration Date
Temporary Services or Feeders
Inslallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amPs
-
Over 600 amps or 1000 volts
0040
55
BOSignat
\
ure
.00
.00
ee ilBfr abo-ve
I Ql.oo&
Ovners Name
Address b 7v{
Ci ty hone
OSNER INSTAILATION
The installation is being made on
property I ovn vhich is not intended
for sa]e, lease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2,00
E
5
Miscell-aneous (Service/feeder not incl-uded)
-Each installation
Purp ot irrigation $ 40.00 /
Limited Energy/Res $ 20.00
Limited nner[y/Comm $ 36.00
BRECEIVED
./r-'+4r+
eq-/Y2 -qL
Electrician