HomeMy WebLinkAboutPermit Electrical 1995-04-11H.
CITY OF OREGO'V
SPRIilGs.'ELCD
225 FTTTE STREET
approval.
Zon
SPRINGFIELD OREGON 974
INSPECTION REQITEST: 72
0FFICE: 726-3759
1 OF
I,EGAL DESCRIFTION
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1B0 days.
2. CoNTRACT0R TNSTALLA:II0N ONI.Y
Electrical Contractor
Supervisor Licen se Number J 6oS
Expiration Date -"{-
Constr Contr. Number 42 c86oO
Expiration Date -Z-a
Tiie lollowing projecl as submltted has the following
zoning, anci?becnot require specific land use
l-*'-BTE TRICAL PERHIT APPLICATION
SCEEDTII.E BELOS
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
€
A
Sum
$ 1s.00
eaaress (ed L;t2^J
citv* vhone 4*E 7i2 f
$ 40.00
Services or Feeders
InstalIation, Alterations
or Rel-ocation:
200 amps or less -/-201 amps to 400 amPs _
401 amps to 600 amps
-
601 amps to 1"000 amPs-
Over 1000 amps/vo1ts
Reconnect OnlY
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
over 4b1 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTTs see "B" above
Nev, Alteration or Extension Per Panel
B
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
{
Ovners Name
Address ,9
Ci ty Phone
OVNER INSTAII.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
ture of rvlsl ng Electri
,/ r, ,(Tfl: T EZzt-
c
One Circuit $ 35'00
Each Additional
Circuit or vith Servic€ , t s6or Feeder Permi t -J.- $ 2 ' 00 7'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAT
D
$ 40.00
s 40.00
$ 20.00
$ 36.00
5
RECEIVED
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Autlorized