HomeMy WebLinkAboutPermit Electrical 1994-02-28OFEGO'VCITY OF
Loeos,l onoo
SPFI',{GFtELO
City Job Number
MuIti-Family per dvelling unit.
Service Included:Items Cost
$ 8s.00
The f o!!.,.,,infi prolec;t as e,:}rrnitad lras the foIIfiYhPlTRTcAL PBRHIT APPLICATI0N
r ii,.i'"irfe ipe+,'{iu ia. ri :.r;#225 ETFf,E SlTEBf,
SPRTilGFIELD, ORBGoN
INSPECTION REQTIEST:
OFFICE: 726-3759
I IOCATION OP
72(i-3769
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3. COHPT,BTE TEB SCMDUI,E BELOV
:: : ;, i,:i ; : :,.- -GAA-Dl,e+--8.es;irhen t i a I - S i n g I e o r
I,BGAL DESCRTPTION
\Sum
JOB +(^
Permi ts are non-transferable and expire
if vork is not started vithin 180 days
of lssuairce or lf vork ls suspended for
180 days.
2. COTflRACTOR II{STALI,ATION ONLY
Electrical Contractor f ,;ct-o,^ 71tr*-
Address 2 4l
ci1f l,t C.)^O
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterat ions
or Relocation:
200 amps or less t201 amps to 400 amPs _401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
B
s 1s.00
$ 40.00
$ so.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c1
o
=
-
Supervisor License Number
a
Expi ration Date 10\ r \qs
Constr Contr. Number 4C-27 C)9
Expi ration Date
Slgnature of Supervlsing Electrician
ers
Owners Name
Address
Ci ty phone Ct'),
OIINER INSTALI,ATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
()vners Signature:
DATE:
c.
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit .?. $ 2.00 H--@
Miscellaneous (Service/feeder not included)
-Each instaLlation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OP ABOVE
5f State Surcharge
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amis to 400 amps
-
$ 55.00
over 401 to 6oo amps
-
$ 8o.oo
over 600 amps or rbOO voT[s see uBu aE6fE
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RBCBIVED
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