HomeMy WebLinkAboutPermit Electrical 1994-04-07C'TY OF SPF"VGF'ELD, OREGO'V
:iP,lT]tlGFIELD
The followinq proiec;t as submittacl has the
iJning, e.na'dibes not require speci{ic land
approval.
use
BIAGTRICAL PERI{IT
City Job Nunber
COHPI,ETB PEB SCEEDTILE BELOV
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
225 PIFTE STREEf,
SPRINGPIELD, OREGoN 97477
INSPECTION RBOUBST: 726-37
q
LOPFICE: 726-3759
1 IOCATION OP rusrer.u{tit8f i
{/D /1/ ?/
DESCRTPTION
Permits are non-tra*sferable and expire
if work is not started vithin 180 days
of issuance or lf vork ls suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION OT{LY
Electrical Contraclot - )s"':-; ! -,,' -,
-
Address 323 ra(
Ci ty CZ,z Phone i?z- i)-/7
Supervisor License Number /[7/ i
Expiration Date /d - 9,5-
Constr Contr . Number 1 't z /?-
Expiration Date ./o - ?f
Signature ising Blectrician
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ..\'
201 amps to 400 amps t
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts _
Reconnect 0nIY
Items Cost Sum
$ 8s.00
$ 1s.00
$ 40.00
$s0
s60
$100
$130
.00
.00
.00
.00
.00
.00
$300
v
40$
c.
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder p"mit--- 5- $ 2.00 t/ 'c'[t
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Ligh t ing-
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amls to 400 amps
-
$ 55.00
over 4b1 to 600 ambs
-
$ 80.00
Over 600 amps or 100OETts see *Bu a5ffi
Branch Circuits
Nev, Alteration or Extension Per Panel
Da
Ovners Name
Address
Ci ty Phone
OIINER
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
0rners Signature:
DATB:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
rL C,
RECBIVBD
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