HomeMy WebLinkAboutPermit Electrical 1995-11-07OREGONCITY OF
Zon
225 FIFTE STREET
SPFJNGFIELD, OREGON 974
INSPECTI0N REQUEST: 726t8lft%d
OFFICE: 726-3759
1.TION q
ON
JOB DE ON
Electrical Contractor
address f o €a
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SPlr FIELO
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ELECTRTCAL PERfiTT APPLTCATTON
City Job Nvnber ?f/ ?db
COHPI,ETE FBE SCEEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
Tl:a.foltcwing project re cubmt$td hra thazontng, anct do€e not requlr rpocilc lend
approyal.
3
A
Sum
Phone 7v//6s
Supervisor License Number <sq ts
Expiration Date
Constr Contr. Nr
Expiration Date
D q
umber .)L
7 /
Signature Superv Electrician
Ovners Name
Address hd LLm /
Ci ty Phone /,
1000 sq.ft. or less
Each additional 500
' "q. ft or portion
thereof
Each Manuf,d Home. or
-
Modular Dvelling
Sertice or Feeder
B. Services or Feeders
Ins tallation, Alterationsor Relocation:
c.
Permits are non-transferable and expireif vork is not started vithin L80 daysof issuance or if vrork is suspended for
180 days.
2. COi,ITRACTOR INSTALI..ATTON ONLY
s 8s.00
$ 1s.00
$ 40.00
$ s0.00
s 60.00
s100. 00
s130.00
$300.00
s 40.00
s 3s.00
s 2.00
40.00
40.00
20. 00
36.00
&
200 amps or less
201 amps to 400 amps -J-
401 amps to 600 amps
601 arnps to 1O0O amps-over 1000 amps/voIts
-
Reconnect Only
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 4O.OO20i. amps to 400 amps
-
$ SS.OOOver 401 to 600 amps
-
S 80.000ver 600 amps or lOOOToft" i"" ,'[u u5oy"-
Branch Circuits
Nev, Alteration or Extension per panel
w
D
One Circui t
Each AdditionalCircuit or vith Serviceor Feeder permit a
OgNER INSTALLATION
The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent.
0yners Signature:
E Miscellaneous (Service/feeder not included)-Each installation
Pump or irrigation S
-Sign/0u t l ine Ligh t ing- SLlmrted Energy/Res
-
SLimi ted Energy/Comm - . $
DATE:5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strativ6 pee
TOTALRBCETVED
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