HomeMy WebLinkAboutPermit Electrical 1993-05-27C'TY OF OPEGO'U
225 PIYTE STREET
SPRTNGPIEIJ, oREGoN 97 477
INSPECTION REQIEST:. 726-3769
OPFICE: 726-3759
1 LOCATION OP INSTALI.^ATTONlErc Nt -7*:
SPrlINGFIELEI
EBCTRTCAL PERHIT APPLICATION
City Job Nunber QU
COXPI..ETE PEB SCEEDUI^E BELOg
New Residential-Single orHuIti-FamiIy per dvelling unit.
Service fncluded:
f tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular DvelIing
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
r[,r fr r
3
A
LEGAL DESCRIPTION
1r.>43S3 I (r 44oO Sum
JOB DESCRI
eL
Parmits are non-transferable and expireif vork is not started vithin 180 daysof lssuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLT
i.llectrical Contractor A S'i-
Address IS-o1 ?.-- I
Ci ty 6- v<i->e
-
Phone 3,-tL-tjt3
Supervisor Licen.se Number ,S- Z - f,u<j
Expiration Date lD-t-
Constr Contr. Number ; q:41 <
Expiration Date ,{-L1 -?-{
Signature of pervisi Electrician
B. Services or Feedersfnstallation, Aflerations
or Relocation:
C
One Circui t
Each Addi tional
Circui t or vi th Service
or Feeder Permi t
E H i scellane
-Each inst
Pump or ir
Sign/0u tIi
Limi ted En
200 amps or less $
201 amps to 400 amps
-
$401 amps to 600 amps
-
S
601 amps to 1000 amps- SOver 1000 amps/voIts
-
S
Reconnect 0nly $
50.
50.
100.
00
00
00
130. 00
300,00
40.00
s 3s.00
,/./
Temporary Services or'FeedersInstallation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or less S 40.'00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S 80.00
0ver 600 amps or 1000 vorfs see rrgrr "ffif
ovners Nane -Pt c-,> J*1v(7|l 16tv
Add ress s-\-e
Ci ry Phone '1L(,- ?Z L3
OIINER INSTALI.,ATION
The installation is being made on
property I oun vhich is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
ous (Service/feeder not included)
aIIa t i on
rigation
ne Light
/Res
I ng_
$ -2.00
s 40.00
s 40.00
s 20.00
5 SUBTOTAL OP ABOVB
5tr State Surcharge
TOTAL
Energy/m t
RECEIVBD
-- s 36.00 V=<'
Lc
1<)
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