HomeMy WebLinkAboutPermit Electrical 1990-11-28OREGO'VC'TY OF
SPrlI,{GFIELt,
225 FIFTE STREET
SPRTNGFTELD, OREGoN 97477
INSPBCTION RBQIIESTz 726-3769
OPFICE: 726-3759
J,
EI,BCTRICAL PERHIT APPLICATION
City Job Nunber
COHPIJTE FEE SCEEDT'I,E BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Items Cost
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 3s.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or 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 0nly
C Temporary Services or Feedersfnstallation, Alteration or Relocation
1. LOCATION OP
LEGAL DESCRIPTION
JOB DESCRIPTION
5 Cffizt{-r t:
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address 4
Ci ty {uetrz Phone z;(z*oql/r
?tS
ALLATr0l.I,z
2-1r, t-:l
3
A
/
Supervisor License Nunber /{Z *5"
Expiration Date /d- /- qZ.
Sutn
$
$
$
$
@00
00
00
00
00
00
130
35
35.00
40.00
80.00
35.
60.
80.
$300
$
Constr Contr. Num
Expiration Date €-36-q/
Superv 151 Blectrician
OITNER INSTALI,ATTON
200 amps or less $
201 amps to 400 amps
-
$over 401 to 6oo amps
-
$
'ber
Signa
Name 1o aA/
citWon.
The installation is being made onproperty r own vhich is not intendedfor sa1e, lease or rent.
Ovners Sigrrature:
DATE:
Over 600 amps or TOOOETIS see uBu aEF
D. Branch Circuits
Nev, Alteration or Extension per panel
One iircuit
Tvo to ten Circuits
Each Addt,I ten orportion thereof $ 1s.00
E
6',d e
Miscellaneous (Service/feeder not included)
-Each installation
IYrp .9. _i
rriga t i on g 36 . 00Sign/outline Lighting- S :O.OOSignal Circuit orlimited energy panel_ $ 36.00
z6z,$
$
00
00
35
50
RECETVED
5 ;r{#ff.##"
qD/42;
Address "9