HomeMy WebLinkAboutPermit Electrical 1993-02-12OREGO'U
efi
225 FIFTE SlREEf,
SPRINGFIELD oREGON 97477
INSPBCTI0N REQIIEST? 726-3769
OFFICE: 726-3759
1 LOCATION345q A)
ELECTRICAL PBRHIT APPLICATION
City Job Number G
I.^ETE FEE SCMDULE BELOV
A. Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service Included:
I terns Cos t
1000 sq.ft. or }ess
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Druelling
Service or Feeder
s 8s.00
$ 40.00
Services or Feeders
Insta1lation, Alterations or
Relocation:
,
OF INSTALI^ATION
,4ilth
IJGAL DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contractor *5O*,rcoz 4 Eueezc-
Address
Ci t c)vc* o Phone Y:rs-*6tv7
Supervisor License Number Ac-= o 65
Expiration Date /O -,/ - 73
200 amps or less
201 amps to 400 arps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nIy
l'iiscelLaneous (Servi ce/feeder
-Each installation
Pump or irrigation $
Sign/outline Lighting- $
Limi ted Energy/Res i $
Limi ted Energy/Comm S
Sum
B
s 15.00
s s0.00
s 60.00
$100. 00
s1 30. 00
s300. 00
s 40.00
not included)
40.00
40. 00
20.00 ffi
36. 00
Constr Contr. Number 1"5i'f g
Expiration Date -2
Signa ture of ctrician
s Name
Address &+5g N, srlth
city 5p r;nq€tetd Phonet.)
OVNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT #:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circui ts
Nev, Alteration or Extension Per Pane]
One Circuit S 35.00
Each Addi tional
Circui t or vi th Servi ce
or Feeder Permi t S 2.00
C
It
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
RECEIVED BY:
5 )o.rA
JOB DESCRTPTTON
tfl5la tl 3?"r'rt r , l'vt S'.-,<le m't
itp
3l . rr7)
(