HomeMy WebLinkAboutPermit Electrical 1994-02-14OREGO'UCITY OF SPF
SPRINGT- J
225 PITTE STRBEf,
SPRTNGFIBLD, OREGoN 97477
INSPECTI0N RBOUEST: 726-3769
ELBGTRICAL PERHIT APPLICATION
City Job Nunber Cl 4 Cl ,q
COHPI,ETB PBE SCEEDTII,B BELOS
Nev Resldential-Single or
MuIti-Family per dvelling unit.
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
s 8s.00
$ ls.oo
$ 40.00
Services or Feeders
Installation, Alterat ions
or Relocation:
200 amps or less I
201 amps to 400 amps
-
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
m
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
Over 600 amps or 1000 voT[s
*
0PFICE: 726-3759 :119\'P-l q
1 LOCATION OP
lr1 I .s.!to.
INSTALT.ATION+b#!A.
IJGAL DESCRIPTION
t 1-)of, if,q?o ltD)
JOB DESCRIPTION
N\?r
permits are non-transferable and expire
if work is not started within 180 days
of issuance or lf vork is suspended for
180 days.
2.. CONTRACf,OR INSTALI.ATION ONLY
Electrical Contractor
Address gL'
Phone 'l*l -Al,at
Sum
B
C
C
$
$
$
$
$
50.00
60.00 _50 oc>
100. 00
130.00
300.00
40.00
Ci ty
Supervisor cense Number tb8 S
Expiration Date lO -- l-95
Constr Contr. Number o e{q
Expiration Date
Sfgna of Electrielan
Ovners Nalne
Address
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
B. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/OutIine Light ing-
Limited Energy/Res
Limited Energy/Comm
$40
$ss
$80
see
.00
.00
.00
rr3rr ,ffi![-
o
clt Phone q4a bqb
OSNER
The installation is belrig made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0rners Signature:
$ 40.00
$ 40.00
$ 20.00
s 36.00
DATE:
5. SIIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
5b,oo
a.5b
RBCEIVBD
a
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