HomeMy WebLinkAboutPermit Electrical 1996-01-17OREGO'VCITY OF
225 FIFTE STREET
STPtrINGFIELD
BLECTRICAL PERHIT APPLICATIONLD R-
SPRTNGFTELD, oREGoN 97477
INSPECTION REQUEST2 726-3769 - -
OFFICE: 726-3759
1.OF INSTALLATION
DESCRIPTION
DESC-BIPTION
Permits are non-transferable and expire
if vork is not started within 1B0 days
of issuance or if vork is suspended for
180 days.
2. COI.ITRACTOR INSTALI.,ATION ONLY
Electrical Contract
Address
City Job Number
BELOII
Nev Residential-Single or
MuIti-FamiIY Per dvelling unit'
Service Included:
A
ogrfl
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
Items Cost Sum
s 85.00
s 15.00
pnone 4**4fd
rvI License Number 1a =9
Expiration Date /C 'r
Constr Contr. Number Taaoo
Expiration Date 3-//-?6
Signature of Supervising Electr'ician
0vners Na
Addres
Ci ty Phone Pf/4)
OVNBR INSTALI.,ATION
The installation is being made on
property f ovn r.,hich is not intended
for sa1e, lease or rent.
Owners Signature:
DATE:
RECEI
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amPs _401 amps to 600 amPs _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0nly
C Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo ambs
-
$ 8o.oo
0ver 600 amps or 10OO voTts see 'Bu a556
Branch Circuits
New, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit 63tf, $2.oo 2r
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Light irg-
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
B
Ci ty
Supe
s s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
_%
-ql
$ 40.00
$ 40.00
$ 20.00
$ 36.00
RECEIVED
AO