HomeMy WebLinkAboutPermit Electrical 1994-01-26I IC'TY OF
225 gI,YIg STREEf,
1 OF
JOB
Permits a -transferable and
if work i s not started vithin 180
of lssuance or if vork ls susPended f
180 days.
2. CONISACIOR INSTALI"ATION ONLY
Electrical Contracto r
SP|{TI\IGFIELO
ELECTRICAL PERHIT APPLICATION
City Job Nunber
3: -COHPLBTE FBE SCEBDTIIJ BELOS
A. Nev Residential-Single or' ' -Hul-ti=i.qmilY per dvelling uni t '
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
$ Bs.oo
$ 1s.oo
$ 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
SPRINGFIEID, ORBGON 97477
INSPECTION RBQUESTz 726-3769
OFFICE: '726-3759
Sum
re
s
or
B
Address l $ s0.00
$ 60.00
$100.00
$r30.00
$3o0. oo
$ 40.00
Ci ty Phone -/,11 I t c'f
Supervisor License Number .35- i't S
Expiration Date
Constr Contr. Number a L{zZ
Expiration Date -S -eY
Signature of Blectrician
0vners Name
Address
Ci ty Phone
OVNER
DATE:
Temporary Services or Feeders
Installaiion, Alteration or Relocationc
200 amps or less -l- q 1q.00
201 amis to 400 amps
-
M.00
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or 1000-6Tts see rrB'l
Branch Circuits
n)
aEove
D
E.
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
l,tiscellaneous (Service/feeder not included)The installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-Each instalLation
Pump or irrigation
Sign/0utIine Lighting-
Limited EnergY/Res
-
Limi ted Energy/Comm
$40
$40
$20
$36
.00
.00
.00
.00
5. SUBTOTAL OT ABOVE
5Z State Surcharge
TOTAL
){
I (
RECEIVBD
(fl
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-s. {t -(o
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