HomeMy WebLinkAboutPermit Electrical 1997-06-09225 FIFTE STREET
SPRINGFIEI,^D, OREGON 9747]
INSPECTION REQUESTz 726-3769
OFFICE: 726-3759
1 OF INSTALLATION
LEGAL DESCRTPTION c
JOB DESCRIPTION
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. COMRACTOR INSTAILATION O}TLY
+ktri<drContractot_
Address
Ci ty Phone
Supervisor License Nu
Expiration te
Constr Co r. Number
Expi ra t on Date
. Signature of Supervising Electrician
0vners Name
SPr\*;;FIELO
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nurnber o
3. COHPIJTE FEE SCEEDI.ILE BELOV
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
afr,
I
Sum
200 amps or le
201 amps to 40
401" amps to 60
601- amps to L0
amps
amps
00 amps_
Over l-000 amps/volts
-
Reconnect OnlY
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
ss
0
0
s s0.00
s 60.00
$100. oo
$130.00
s300. 00
s 40.00r
C Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less u-1 $ 40'00
201 amps to 400 amps
-
S 55-00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1000 voT[s see I'B,
r'orT-
Eovea
D- Branch Circuits
Nev, Alteration or Extension Per Panel
O9NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
S 40.00
l,iilited Energy/Res
-
$ 2o-oo
Addre
Ci ty
DATE:
on. '/q-b -
E
5
$ 3s.00
$ 2.00
OD
Oc
RBCEIVED
Uu
2 Lo
A"