HomeMy WebLinkAboutPermit Electrical 1993-08-16C'TY OF OREGO'U
225 FTFTE STRBET
SPRTNGFIELD, oRBGoN 97477
INSPE(IION REQI ESTz 726-3769
OFFICE: 726-3759 Dats
1 LOCATION OP
&.$ stjh;:r:lr '' ' ,'
'.q,r," l, :' . ' EIJdff,lcAl, pERHrr APpLrcATroN
city Job Number Qzt)l L
SPRI ,:IELD
COHPI,ETE FEE SCEBDTILE BELOU
-Nev Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
t Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-
s 8s.00
$ 1s.00
Hodular Dvelling
Service or Feeder
The folloadng protecl
zontfig, and doegnot
approval.
Ld
LBGAL DESCRTPTIONllob>5.1 ) 0O)ol Sum
JOB
tt4Per ts are non-transferable and expirif vork is not started vithin 180 daysof issuance or if work is suspended for
180 days.
2. COI{TRACf,OR INSTALI.,ATION
I
Electrical Contractor
Services or FeedersInstallation, Alterations
or Relocation:
SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
i $ 4o.oo @o
not included)
40.00
40.00
20.00
40.ooe.oa
Ua -a0
Pa=
e
Address €2
Ci ty
Supervisor Licens e Number 2-{a a .f
Expiration Date,{
Constr Contr. llumber *f 86ao
Expiration oate | - )3 -X .l
DATE:
200 amps or less
201 amps to 400 amps
-7 401 amps to 600 anps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconneet Only
200 amps or less $
201 amps to 400 amps
-
$
over 40L to 600 amps
-
$
Over 600 amps or 1000GTfs s
C. Temporary Services or FeedersInstallation, Alteration or Relocation
B
E.
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
40.00
55.00
80.00turervlstrician
rs Name
Address /ft fl"#
,'rt%Ph"""CF7,?$7
OgNER INSTALI,ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
*-
ee ilBn a5676-
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
\
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/OutIine Lighting- $Limited Energy/Res
-
$
Limi ted Energy/Comm $
I
RBCEIVBD
5
^J
Phone ll S{- 36 S