HomeMy WebLinkAboutPermit Electrical 1992-03-19C'TY OF
sr'TilNGFII:LI)
225 I'IFTE STRBEf,
SPRINGFIEIJ, ORBGoN 97477
INSPEGTION REQTIBST: 726-3769
0PFICE: 726-3759 Ao,rovbed
1
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork ls suspended for
180 days.
2. COIWRA(f,OR INSTALI-ATION ONLY
Electrical Contractor
Address
ci Phone
Supervisor cense Ntimber +
Expiration Date \o\
constr contr. *uruur- .$fl
Expiration Date
Signature of ising Electrician
v
lhenotrequirespeclflcland
ELB TRICAL PERHIT APPLICATION
Ci ty Job Number
BELOU
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
Items Cost
C
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps _401 amps to 500 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
eno
Sum
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less $
201 amps to 400 amps _ $
Over 401 to 600 amps _ $
Over 600 amps or 1000 volts s
40.00
55.00
80.00
ee rrBrr aEove
N
ress
Ci ty one
OgNER
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
RECEIPT
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
one ci rcui t __L $ 35. Oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
€s
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
00
00
00
00
s40
$40
$20
s36
5
RECEIVED BY
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