HomeMy WebLinkAboutPermit Electrical 1994-11-04Th6 l/
zonini
approval.
Authortzed
225 FTTTE SIts.EET
SPRINGFTELD, ORBGON 97477
INSPECfiON REOUESTz 726-3769
OFHICE: 726-3759
>o
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. COMRAC:TOR INSTALI,ATTON ONLY
Electrical Contract irl
Address 7 gss'f /Dy'zzasu.D bz"
Cityc,nryorEot- Phone e?S.- 3 4/ O
Supervisor License Number Jt>- 6 9
rno proioct as submltted hrs the foliowirg
,o?beinot requlre specilio land use
Dd)
SPII'I\IGFIELD
ELEqTRICAL PERHIT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome or
-
City Job Nunber
COMPI, TE EBE SCEEDTII,E BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems
tuq
3
A
Cost
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.00
.00
.00rBr
w
Sum
Expiration Date,0 a/
Constr Contr. Number lz 7"
Exp
Iiration Date o
Signature of Supervising Electrician
0vners Name
Address S+
Ci ty Phone
OIINER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature:
DATE:
RECEI
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
Relocat ion:
c
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 anps-
Over 1000 amps/volts
Reconnect 0n1y
200 amps or less $
201 amps to 400 amps
-
S
over 4b1 to 600 amps
-
$
0ver 600 amps or 1000ToEs se
Temporary Services or Feeders
Installation, Alteration or Relocation
Z-
?s'
40
55
80
e
/
aEffi
l/'
a D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited Energy/Res
Limited EnergY/Comm
$
s
$
$
40.00
40.00
20.00
36.00
5
(
CITY OF SPR'AfG OPEGOA'
RECEIVED
CD
1. LOCATTON OP TNSTALLATT9N- tt t/57 tz rz sZ rt-l;
t 1 ^1 Qy
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