HomeMy WebLinkAboutPermit Electrical 1991-05-20CITY
SPfIINGFIELE,
225 PIFTE STREET
SPRINGTIELD, OREGON 97 477
INSPECTI0N REQIIEST:. 726-3769
0FPICB: 726-3759
1 OF
ON
ELECTRICAL PERXIT APPLICATION
City Job Number
COHPLETB FEB SCEEDUIA BELOS
Nev Residential-Single orMulti-Family per dvelling unlt.
Service Included:
ftems Cost
1500 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each Hanuf,d Home or
-Modular DveIIing
Serviee or Feeder
$ 8s.00
$ 1s.00
$ 3s.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
h
200 amps or less
201 amps to 400 amps
-over 40L to 600 amps
-0ver 600 amps or 1000 voTE
SUBTOTAL OP ABOYE
5X State Surcharge
TOTAL
3
A
Permits areif vork ls
of lssuance
i80 days.
non-transferable and expirenot started vithin 180 daysor if vork is suspended for
Sum
00
00
00
s see ttgr 3ffi
2. CONTRACTOR INSTALI,,ATION ONLY
Address
Cl ty Phone
Supervisor cense Number Aq ,CS
Expiration Date
D4 Temporary Services or FeedersInstallation, Alteration or Relocation
B
C
ZZ
100 amps or less $
101 amps to 400 amps
-
$
401 amps to 600 amps $
601 amps to 1000 arps- $0ver 1000 amps/voIts g
Reconnect 0n1y $
00
00
00
00
00
00
35.
60.
90.
130
300
35
$ 3s.
$ 40.
$ eo.
s 3s.00
$ s0.00
$ 1s.00
lC
Constr Contr. Number
Expiration Date \ e \
Signature of
t
1S EIec c].an
rs ame
Address
Ct ty one
OIINER INSTAILATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
Ovners Slgnature:
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Tvo to ten Circuits
Each Addtrl ten orportion thereof
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/outline Lighting_- $ 36.00
Signal Circuit orIimited energy panel S 36.00
RECEIVED BY:
5 aal
Electricar contrac,"fu
i,qt