HomeMy WebLinkAboutPermit Electrical 1995-05-09CITY OF OREGO'U
SPFli 'IELD
{ollowing
PTION
Permi s are non-transferable and pire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days
COI{TRACTOR INSTALTATION
EI rical Contractor
Address
not use
l-l)(-ELECTRICAL PERHTT APPLICATION
City Job Number!-
FEE SCEEDTILE BELOV
A Nev Residential-Single orHulti-Family per dvelling unit.
Service fncLuded:
ftems Cost
1000 sq.ft. or less $ 8s.00additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Service or Feeder
s 1s.00
s 40.00
B. Services or Feeders
Insta]lation, Alterations
or Relocation:
225 FTFTH STREET
SPRINGFTELD, OREGON g
INSPECf,ION REQTIEST:
OFPICE: 726-3759
The toliowing prolect
zoning, and does
approval.
zonl
-1
Authorized
aE submited has the
requiro sPecific lano
200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1
Over l-000 amps/vo1ts
Reconnect 0n1y
7 477
726-37
''Jtfi,3u
Sum
ess I
00 amps
000 amps_
\50@
Ci ty
Supe
Expi
Cons
Expi
'hone
rvisor Lic Number
ration e
tr r. Number
r on Date
s s0.00
s 60.00
s100.00
s 130. 00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or ]ess $ 40.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 voTts see "B* a6ovE-
ture of Supervising Electric
Ovners
Address
Ci ty Phone
ON
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
D Branch Circuits
Nev, Alteration or Extension Per Panel-
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
s
s
$
s
00
00
00
00
40
40
20
36
5
RECEIVED B
5,
@