HomeMy WebLinkAboutPermit Electrical 1991-11-19aCITY
225 PI,Ern SmBET
sPRrNGrrELD, oREGoN 97477
INSPEGTION REOUBSTI 726-3769
0PPICE: 726-3759
1 LOCATION OP ,ON
JOB DESCRTPTIONRr,ra { ', {'!E
Permits are non-transferable and explreif vork is not started vlthin 180 daysof issuance or if vork is suspended for
180 days.
2. COITITACTOR INSTALI^ATION ONLY
Electrical Contractor Jr(b ELfrLTe;(-
Address et E f t>D N/ iY
ci S PFLb Phone '7+b'*bEL
Expi ratlon Date tD- l- q r"
Constr Contr. Number_ g2{-$;/22
Expiration Date U"ZL\- qe
Signature o Supervising Electri cian
0vners Name
Address
Ci ty Phone
OVNER INSTALI.ATION
The installation is being made on
property I own which is not intendedfor sale, lease or rent.
0wners Signature:
DATE:
RECETPT
RECEIVED
sl'rtaI{GFrELt,
ELECIRTCAL PERilTT APPLICATTON
Ci ty Job Number
3. COUPI,ETB FEE SCMDULE BELOS
A. Nev Residential-Single or
MuIti-Family per dwelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less $ 85.00
Eaeh additional 500
sq. ft or portionthereof $ 15.00
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder $ 40.00
Services or Feeders
fnstallation, Alterations or
Relocation:
200 amps or less t
201 amps to 4oo amps +
401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see rrBil above
z
D. Branch Circuits
Nev, Alteratlon or Extenslon Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/outline Lighting-
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
s 36.00
SIETOTAL 0F ABOVE filrt)
5Z State Surcharge
TOTAL
5 ao
IJGAL DESCRIPTION/7f^ ?e 4.a rygoo
ST,
Qtr s 73