HomeMy WebLinkAboutPermit Electrical 1992-02-27Stir uN(;FrI:Lt,
225 FITTE SlTEEf,
SPRINGFIEIJ, ORBGON 97
INSPECTION RBQUBST: 7
oPPICE: 726-3759
1 OF
has thoFnorfilCrRICAL PERHIT APPLICATION
land uco
Ci ty Job Number
COUPIJTE PEE SCEEDUI^E BBLOIT
tial-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
I tems -Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 15.00
s 40.00
ab
B. Services or Feeders
Installation, Alterations or
Relocat ion:
f_htl\ttoo amps or ress
nci
( o\LD
SHHiHTfftnoc t{hg
Permits are non-transferable and explre
if vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. Co!{I"ACf,oR
Sum
8p
-;\3-)D-
INSTALI,ATION ONLY
Electrical Contract
Add
cit
"-
4\"1 -A\01
$ s0.00
$ 60.00
$100. 00
$130.00
$300.00
$ 40.00
CJSupervisore Ndmber
Expiration Date
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect oniy
Temporary Services or Feeders
Installation, Alteration or RelocationConstr Contr. Number
Expiration Date
Signature of Supervising Blectrieian
Ovners Name
Address
Ci ty Phone
OgNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT
c
200 amps or less 1 S 40.00
201 amps to 4oo amps * $ 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
Over 600 amps or 1000 volts see trBrl
Branch Circuits
above
Alteratlon or Extension Per Panel
one ci rcui t $ 35 ' oo
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
s 40.00
$ 40.00
$ 20.00
s 36.00
o5
RECEIVED BY:
5
30
\_r\