HomeMy WebLinkAboutPermit Electrical 1991-08-02C'TY OFSPR onEGorv
5T'TIINGFIELE,
225 FIFTE STREE:T
SPRTNGFTBLD, ORBGoN 97477
INSPBCf,ION REQTIBST: 726-3769
0PFTCE: 726-3759
1 OF
EI.ACTRICAL PERilIT APPLICATION
City Job Nurnber tr 4?A
COHPI,ETB FBE SCBEDUI^E BBLOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Itens Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Manuf,d Home or
-Modular Dwelling
Service or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0nly
C. Temporary Services or FeedersInstallation, Alteration or Relocation
m
200 amps or less
201 arnps to 400 amps
-0ver 401 to 600 amps _Over 600 amps or 1000 volt
3
A
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COIIIRACTOR INSTALI.ATION OI{LY
Electrical Contractor
Address
Ci ty Phone
Expiration Date
Constr Contr. Number [os
Expiration Date
s ure of Supervis ing Electrician
Owners Name
Address
Ci ty
OIINER
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0wners Signature:
DATB:
RECEIPT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _ $
Sign/0utIine Lighting_ $
Limited Energy/Res $
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
Sum
s see rrgn
"ffi
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ ss.00
$ 80.00
40.00
40.00
20. 00
36.00
c{)
BRECEIVED
5
I At
supervisor License Ntimber 3g9ln:
Phone
l-.