HomeMy WebLinkAboutPermit Electrical 1996-11-04C'TY OF
D
^),
INSTALI,ATION€l6t-
SPRINGFTELO
ELECIRTCAL PBRfiIT
City Job Nunber
.COHPI.,ETE EEE SCffiDtII^E BBLOV
New Residentlal-single or
Multi-FamiIY Per dvelling unit'
Service Included:
a
LDIU
225 FTr{'E STREEf,
SPRINGFTELD, OREGON
II{SPBCTTON REQIIEST:
0FEICB: '726-3759
97477
726-3769 , ...uis
II v)L
B
1 LOCATION OF
3
A/)
days.
COTTItsACTOR INSTALI^ATION ONLY
Items
1000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thireof.
Each Hanuf'd Bome or
Hodular Dvelling
Service or Feeder
Services or Feeders
fnstallation, Alterations
or Relocation:
ress --L400 amps
1000 amps
Cos t
$ 8s.00
$_ ls.00
$ 40.00
Sum
Permits are non-transferable and expire
ii-"ottc, is not started vithin 180 days
of i""u"hce or lf vork ls suspended for
2
Elect cal Contractor
Address
Clty_Phone
Supervisor Licen-se Number
Expiration Date,
Constr Contr. Number '
Expiration Date
Slgnature of SuPervising trician
/
Ovners Naue
r
Temnorary Services or'Feeders
Installaiion, Alteration or Relocation
200 amps or
201 amps to
401 amps to
601 amps to
Over 1000
Reconnect
amps/vo1ts
0nly
$ s0.00
$ 60.00
$100.00
$13o.oo
$300.00
$ 40.00
c.
D.
200 amps or less $ 40'00
over 4b1 to 6oo amps
-
$ 8o.oo
over 600 "*p" or- ibOOlfr"fis see t'8" a6618
Branch Circuits
New, Alteration or Extension Per Panel
a
srAddress
Cl ty Phone
One Circuit
Each Additional
Circuit or vith Service
or Feeder Pe.rmit
$ 3s.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lightir
Limited EnergY/Res
Limited EnergY/Comm
STIBTOTAL OF ABOVE
5Z State,surcharge
$ 40.00
$ 40.00
$ 20.00
$ 2.00
The installatioh is beirig made on
piop.tty I ovn vhich is not intended
for saIe, lease or rent'
OgNER ALI,ATION
DATE:
s
TOTAL
ng--
$36.90N
': r. ''i
e^f L{)vL-/-
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