HomeMy WebLinkAboutPermit Electrical 1997-01-02OREGO'VCITY OF SPR
225 FTTIU STREET
SPRINGHIELD, OREGON 97477
INSPBCTTON REQITBST | 726-3769
0PFICE: 726-3759
Permits are non-transfera
if vork is not started vi
of issuance or if vork is
1B0 days.
2. COTiITRACTOR INSTALT,ATION ONI.Y
SPFTNGFIELD
EI,ECTFJCAL PERHIT APPLICATION
City Job Nurnber
COI{PI,ETE TEE SCEEDTILE BELOV
Nev Residential-Sing1e or
Multi-FamilY Per dvelling unit'
Serviee Included:
I tems Cos t
$ 8s.00
$ 1s.00
$ 40.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
1
Electricaf Contracto r Son
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPS
-
40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or less
ZOf "ri,. to 400 amPs
-Over 401 to 600 amPs
Over 600 amps or fOOOloT[s
Branch Cireuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Light
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
3.
A.
B
c
E
Sum
thin
sus
and expire
180 days
pended for
itrol S clr r I ty
Address P.O.Box 21 009 $ s0.00
$ 60.00
s 100. 0o
$130. 00
$300.00
$ 40.00
40.00
55.00
80.00
$
$
$
S
Supervisor License Number /b87 Rgf
Ci ty Eu ene
Exp iration Date
Constr Con tr. Number 651 49
Expiration Dat e 6- 2B-9Vrl
Signature of
Phone 461 -5 678
Electrician ee nBr a6ovE-
D
Ovners Name
Add S
Ci Phone
ON
The installation is being made on
piop"t,y I ovn vhich is not intended
for sale, lease or rent'
Osners Signature:
$ 40.
$ 40.
$ 20.
$ 36.
00
00
00
00
d)
DATE:
RECEIVED B
5
4naofl+:-