HomeMy WebLinkAboutPermit Electrical 1992-06-04t OREGO'UctfY oF
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225 FIFTB STREET
SPRTNGFTELD, OREGON 97477
INSPECf,I0N REQI BST. 726-37 69
OFFICE: 726-3759
1 OP
IAGAL
ELECTRICAL PERHIT APPLICATION
4il{bo
JPermi ts are non-trans ferable and exp
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address
ci ty- Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Exp iration Date
Signature of Supervising Electrician
0vners Name "t
''' '"^ :_ '
COHPIJTE FEB SCEEDULE BELOV
MuIti-FamiIy per dvelling unit.
Service Included:Items Cost
sq.ft. or less s 8s.00
additional 500
ft or portion
reof $ 1s.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
Insta1lation, Alterations or
Relocat ion:
200 amps or less I
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
Ci ty Job Number
One Circui t
Each Additional
Ci r:cui t or vi th Servi ce
or Feeder Permi t
f 7'/ fl ^Ww Resi'den t iar-Singre or
Sum
if":;Y'i'zBh*o A * t -a,{o
B
00
00
00
00
00
00
50
60
00
30
$
$
$1
$1
w
over 1000 amps/volts
-
$300.Reconnect0nly
-
$40.
c Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see I'B[ above
Address
Ci ty_
B/( N 7r^Nev, Alteration or Extension Per Panel
$ 3s.00
Phone 746-r?36
---T--OIINER INSTALI.ATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners
E. Miscellaneous (Service/feeder not included)
-Eaeh installation
Ptrmp or irrigation
Sign/outline Lighting--
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
&. adl
S 2.oo
$ 40.00
$ 40.00
s 20.00
s 36.00
RECEIPT {: rlTti)
RECEIVED A
5 o