HomeMy WebLinkAboutPermit Electrical 1991-05-16C'TY OF
225 FIPTB STREET
SPRINGFIELD, oRBGoN 97 477
TNSPBCTIOH REetBSTt tZ6-3769
0PFICB: 726-3159
1.LOCATION !P ALI,ATION
LEGAL DBSCRTPTION
JOB DESSRTPTI0T[
SP'IINGFIELt,
ELECTRICAL PERHIT APPLICATION
City Job Nunber
3. COHPI,ETE FEB SCEEDLIIA BELOg
Eleetrical Contractor
Address $AO (^i \ t-
ci ty f ,. . -n-€ phone 6Watgl_n-
Supervisor License Number
Expiration Date t gl Ot
4 I tems Cos t
$ 85.001500 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each Hanuf,d Home or
-Hodular Dvel}ing
Service or Feeder
$ 1s.00
$ 3s.00
B Services or Feeders (10 Branch Cireuitsincluded). Insta1lation, Alterationsor Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
C, Temporary Services or FeedersInstallation, Alteration or Relocation
Nev Residential-Single orHu1ti-Family per dvelling unit.Service Included:
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 10008[s
Sum
G,s/
Permits are non-transferable and expireif vork is not started vithin 1g0 daysof lssuance or if vork is suspended for
180 days.
2. COI{IRACTOR INSTALI.ATION ONLI
SqpJ s
Expiration Date /O I at lat
Signature of Supervising Electrieian
0vners Name
Address
City phone
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension per panel
$ 35.00
$ 60.00
$ e0.00
$130.00
$300. 00
$ 3s.00
$
$
$
se
35.00
40.00
80.00
e nBr aEE
5
s 1s.00
Miscellaneou.s (Service/feeder not included)
-Each installation
Pump or irrigation g 36.00
sign/outline Lighting- S 36.00
Signal Circuit orlimited energy panel $ 36.00
One Circuit
Tvo to ten Circults
Each Addtrl ten orportion thereof
SI.IBTOTAL OF ABOVE
5I State Surcharge
TOTAL
$ 3s.00
$ s0.00 oL"
RECEIVED
(1IO
qe
constr contr. number cQ0 - AA14
I
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