HomeMy WebLinkAboutPermit Electrical 1992-03-23Ci,TV OF OBEG
STD'ITNGFIE,LO
Aie
225 FTFTE STREEI
SPRINGFIEI^D OREGON 974
st,gcft.r CAL PERHTT APPLICATION
,
INSPECTI0N REQTBST: 726-3769
OFFICE: 726-3759
1.OF
Permits are non-transferable andr expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI.ITRACTOR INSTALI^ATION OM,Y
Electrical Contractor
City Job Nuurber
COHPIJTE PEE SCEEDUIJ BELOII
ial-Single or
HuIti-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Sum
It\cn) M-
Services or Feeders
fnstallation, Alterations or
Relocation:
.t
200 amps or less I
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
B
&q3 $ s0.00
$ 60.00 tr)Address
Ci ty Phone
Supervisor e Ntimber
Expiration Date
Constr Contr. Number
Expiration Date
Signature of t crEu-t
Ovners e
Address
Ci ty Phone
OVNER INSTALI.ATION
The installation is being made on
property I own vhich is not intended
for sa1e, lease or rent.
0vners Signature:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
$ 3s.00
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBrr above
t
a
E.
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Ptrmp or i rriga t i on $
Sign/outline Lighting- $
Limited Energy/Res _ S
Limited Energy/Comm S
$100.00
$130.00
s300.00
$ 40.00
s 2.00
not included)
40.00
40.00
20. oo
DATE:
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTALRECEIPT
RECEIVED B
,l
5 oo
lDl qn,