HomeMy WebLinkAboutPermit Electrical 1994-09-16sP'ItalcFtELf,
zoning, and
approvs!.
not
rn EI.ECTRICAL PERT{IT APPLICATION
s7477 a*o-i-/Q:4i
726-trl$griz€d flrY City Job Nurnber
3. COHPI,ETB FEE SCEEDIILE BELOIJ
use
225 FITTE STBEET
SPRINGFIEI,D, OREGON
INSPECTION REQTIEST:
oFFICE: 726-3759
1. LOCATION OF
LEGAL DESCRIFTION
JOB DESCRIPTION
?+/'r
A
B
Nev Residential-Single or
Multi-FamilY Per dvelling
Service Included:
I tems
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 1s.00
$ 40.00
@oct
40.00
55. OO
80. oo
ee trBn aEove-
$ 3s.00
unit.
Cost
$ Bs.oo
Sum)-
Permits are non-transferable and expire
if work is not started vithin 180 days
;i i;;;."ce or if vork is susPended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent'
Electrical Contractor
Citv Phone
Supervisor License Number
Expiration Date C.
Constr Contr. Number
Exp iration Date
Signature of Supervising Electrician
D
Owners Name )txa ^)
Address
Ci ty Phone
200 amps or less
,oi ;;t to 4oo amPs 7-
40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
TemporarY Services or Feeders
in"iuffuiion, Alteration or Relocation
Services or Feeders
lnstallation, Alterations
or Relocation:
200 amps or Less
toi ;;" to 4oo amPs
-Over 401 to 600 amPs
-
0ver 600 amPs or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service-
or Feeder Permi t T
-Eacti installation
Pump or irrigation
Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ s0.00
$ 60.00
s100.00
$130.00
s300.00
$ 40.00
$
$
$
s
$ 2.00 W
E. Miscellaneous (Service/feeder not included)
$
$
$
$
00
00
00
00
oo
40
40
20
36rs Si
DATE:
5
OREGO'VCITY OF
RECEIVED
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder