HomeMy WebLinkAboutPermit Electrical 1993-01-25C'TY OF OREGO'V
225 FTVTE STRBET
SPRTNGFTELD, ORBGON 97477 I
INSPECTION REQITESTI 726-3769 |
OFFICB: 726-3759
Expiration Date
1 LOCATION OPqr^ A)
IJGAL DESCRIPTION1 011L l3 c-l6co
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. COXITRACTOR INSTALI.ATION ONLY
Electrical Contractor f -0,.
Address Qa ia< b t,-nD0
Ci ty Qu*Phone 1\+) bt;l tT
Supervisor License Number st-) g
Expiration Date tD
::
Constr Contr. Number Cf gO
" l tb lqa
Signature of Supervising Electrician
sPlt.__jFrELC,
BIJ TRTCAL PEru{TT APPLICATION
City Job Nunber Q'<ooqz
3. COI{PIJTB PEE SCEBDT'LE BBLOV
A. Nev Residential-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 Manuf'd Hone or
-Hodular DvelIing
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
B. Services or FeedersInstallation, Alterations
or Relocation:
c.
D. Braneh Circuits
Nev, Alteration or Extension Per Panel
200 amps or less I201 amps to 400 amps
401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/volts
Reeonnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S 8o.oo
Over 600 amps or 1000Efts see rtgtt
"ffi
zoning, anr
appio"'sl.
does not re
s
So rtrr$ s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
Sum
35.00
2.00 e_&)
not included)
40.00
40.00
20.00
Ovners Name
Address lsr
ci Phone
OIINER INSTALI,ATION
The installation is being nade on
property I ovn r.rhich is not intended
for sa1e, lease or rent.
Orners Signature:
DATE:
One Circuit S
Each AdditionalCircuit or vith Serviceor Feeder Permi t I S
Hiscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/0utline Lightingl S
Limited Energy/Res
-
$
Limited Energy/Comm $
STIBIOTAL OP ABOVE
5Z State Surcharge
TOTAL
B
RBCEIVED
5
1+ bn