HomeMy WebLinkAboutPermit Electrical 1994-03-24SPRINGFIELD
T!.e foiin',ii:r0 proioct Bs subrnitted has the
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477SPRINGFIEI.D OREGON 97
INSPBCTION REOUBST. 726-3769 Zoni
OFFICE: 726-3759 Da{"r: '/l>q_lol-
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ELBCTRICAL PERfiIT APPLICATION/)a City Job Nunber 4rl 3q4
3. COHPI.ETE PEE SCEBDT'LB BELOV
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
1. LOCATTON OF
e
l(-
Permits are non-trafisferable and expire
if vork is not started vithin 180 days
of issuance or lf vork ls suspended for
180 days.
2. COIITRACTOR INSTALI,ATION ONLY
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
ilodular Dwelling
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
c
Items Cost Sum
$ 8s.00
$ 1s.00
$ 40.00
INSTALIATIOIA) \t1f -
Electri
Address
cal Contractor
ci Phone
Supervisor cense Number
Expiration Dat
Constr Contr. N
Expi ration Date
Signature of Supervlsing
Temporary Services or Feeders
Installation, Alteration or Relocation
tloo"200 amps or less \ S 40.00
201 amps to 4oo amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voTIs see I'8"
t
0wners Name n Lpo
aM
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit _ $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Light ing_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
0 0 1))
Address 3l l?w I! !-4
ci Phone 1L{l-"-4)Lq
OIINER INSTALT.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.$ 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
Signa
CITY OF OREGO'U
RBCEIVBD
5
200 amps or less $ 50.00
201 amps to 4oo amps
-
$ 60.00
401 amps to 600 amps
-
$to0.o0
601 amps to 1000 amps- $130.00
Reconnect 0niy $ 40.00
40.aoz n()+L4).(Y'