HomeMy WebLinkAboutPermit Electrical 1997-01-03C'TY OF OREGO'U
SPRTNGFIELO
%
225 FIYTE STREET
. JOB DESCRIPTION
LV. R[a".n ]rs+vrn
Permits are non-transferable and expireif vork is not started vithin 180 days
of lssuance or if vork is suspended for
180 days.
2. CO}ITRAC;TOR INSTALI,ATION ONLY
ELECTRTCAL PERHIT APPLICATION
Ci ty Job Nunber
3. COI{PLETE PEE SCMDULE BELOV
tial-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft cr portion
t hereo f
Each Hanuf'd Home or
-Hodular DweIIing
Service or Feeder
s 8s.00
s ls.00
s 40.00
B.
Electrical Contractor
Address Bo51 6Ll')
Ci ty
Supervisor License N'
Constr Contr. Number
(;rr,'$
pnon" lo4l- OlgLe
umber 5q eJL?
Services or Feeders
InstaIIation, Alterations
or Relocation:
ST'BTOTAL OP ABOVB
5tr State Surcharge
TOTAL
200 amps or less
201 amps to 400 amps
--401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/voIts
-Reconnect 0nly
-Each installation'
Pump or irrigation $Sign/Outline Lighting- S
Limi ted Energy/Res -i- SLimited Energy/Comm $
YL h1
s s0.00
s 60.00
s100.00
$ 130. 00
s300. 00
$ 40.00
$ .2.00
Sum
Sove
Expirat'ion Date [O-l-q5 ,,
c Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
Expiration Date ll-01-q'l 200 amps or less $ 40.
201 amps to 400 amps
-
$ 55.
0ver 401 to 600 amps
-
$ 80.
0ver 600 amps or 1000 voITs see "
Signature of Supervising Electrician
John fui*r"r.nn D. Branch Circuits
Address Ur€,* Drrrf<-,Nev, Alteration or Extension Per Panel
cir ,{e pno"" '14'l-414'l One Circul t
Each Addi tional
Circuit or vith Service
or Feeder Permi t
s 3s.00
OVNER ALI.,ATION
00
00
00
Brr a5
Owners Name
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATB:
B. Hiscellaneous (Service/feeder not included)
4
4
2
3
0.00
0.00
0.00
6.00 MO
o "oo
RBCEIVED
5
SPRTNGPIELD, oREGON 97477. .
INSPECTI0N REQTEST: 726-3769
0PFICE: 726-3759
1 OP \3