HomeMy WebLinkAboutPermit Electrical 1994-02-22C'TY OF SPR OREGOA'
225 FTYIE STRBBT
The lollowing prolecl Es submlttod hae the
zoning,-r.nd dbos not require specific land
approval.
SPI{I,tlGFIELI,
us8
BIJCTRICAL PERTIIT APPLICATION
2rO
Permits are non-transferable and expire
if vork is not started rlithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI,ATION ONLY
Electrical Contractor 66, roaP
Address
city- Phone
Supervisor Lic ense Number 4o7?s
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dwelling
Service or Feeder
Services or FeedersInstallation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect 0nIy
BELOg
Sum
$ 8s.00
$ 1s.00
$ 40.00
B
Explration Date 10-
Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
200 amps or less 'S 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 ambs
-
$ 80.00
0ver 600 amps or 1OOO vofts see I'Brr a6i1E
$3oo
$
$
$
$r
$r
00
00
00
00
00
00
50
60
00
30
40
('
C
Constr Contr. Number E rvp ^F
Exp iration Date -l--r-rur
rL
Slgnature of Supervlsing Electrician
16^-,4 7)z//
0vners Nane 1^r;( lnmr.1-lr rots P,qnK lPcz.
Address ?oo
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
one circuit I $ 3s.oo Jzg
Each Additional
Circuit or vith Service
or Feeder Permir 1 $ .2.00. O,oD
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/0utIine Light ing-
Limited Energy/Res
Limited Energy/Comm
-5. STIBTOTAL OT ABOVB
5f State Surcharge
TOTAL
43.oo
l\h.',/ L
Phone 726 -+3Bg
OVNER INSTALI.ATION
The installation is being made on
property I own nhich is not lntended
for sale, lease or rent.
Orners Signature:
DATB:
s 40.00
$ 40.00
$ 20.00
$ 36.00
RBCEIVED
4.s. r
ty Job Number
A. Nev Residential-Single or
MuIti-PamlIy per dwelling unit.
Service Included:Items Cost
SPRINGFIBLD ORBGON
INSPEfiION REOIIEST:
OPPICE: 726-3759
1. LOCATION OF INSTALu'IT$STIZOd
TtL
Clty S,Fe,oa ria:co