HomeMy WebLinkAboutPermit Electrical 1998-10-23CITY OF OREGO'V
225 FIFTE STREET
SPRINGFIELD, OREGON 97477
INSPECf,ION REQUESTz 726-3
OFPICE: 726-3759
(anr-or*,,r-+t
SP -- GFIELI,
ELECTRICAL PERHIT APPLICATION
lv Job Number
BELOV
Nev sidential-Single or
Multi-Family per dvelling unit.
vice Included:
769
1. LOCATIZ?'v t ON OF INSTALI,ATTON
I,.EGAI,
JOB DESCRIPTION
Permits are non-transferable
if vork is not started vithin
of issuance or if work is sus
LBO days.
1000
Each
sq.
thereof
ch Manuf'd Home. or
Iar Dvelling
or Feeder
/Fib
Items Cost Sum
$ 8s.00
$ 40.00
not included)
40.00
40.00 zt7t,
20.00
sq. f
addi
ft o
r fess
tional 500
r portion
1
:.i,";
'' t..
2. COMRACTOR INSTALT.ATTON ONLY
EI
Ad
Ci
Su
Ex
Constr Contr. Number -f7olt Zo 3
Expir:ation Date
Signa ture of S upe_rv]'s ing Electrician
Ovners
Addr
Ci ty Phone
STALLATION
The installation is being made on
proper ty I ovn r,rhich is no t in tended
for sa1e, lease or rent.
Orners Signature:
DATE:
ers
erat ions
t
ess s s0.00
00 amps s 60.00
amps s100.00
1000 am ps $130. 00
s/vo1 ts s300.00
n $ 40.00
Services or Feeders
Installation, Alteration or Relocation
200 amps"or l-ess S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 6oo amps
-
$ 80.00
Over 600 amps or 1000 voTTs see ttgtt u[fr!-
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
D
E
5
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lightine- / S
t imi ted Energy/Res $
Limited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTALRBCEIVED
oo
oo.
t
E.
iration Date
ec c.
t
{
i
I
I
)
i
center.