HomeMy WebLinkAboutPermit Electrical 1993-03-255 t ., I rt', c:l: rr: LU
I
2it
225 FIFTII STRI|IiT
SPRINGFIELD, OREGON 97477
INSPECf,ION REQUBST: 726-3
OFFICE: 726-3759
ELECTRI CAL PERHIT APPLICATION
ONOPI
Add ress 3 l^
Ci ty Phone
ON
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE
RICE $
City Job Number
3. COHPLBTE PEB SCIIEDULE BBLOS
aI-Single or
HuIti-FamiIy per dwelling unit.
Service Included:
Items Cost
169 l9-/
Dato
1
A.
Sum
DESCRIPTION
Permits arc non-transferable and expire
if vork is not started vlthin 180 days
of issuance or if vork ls suspended for
180 days.
2. CollTRACf,oR rNSTA ONLY
Iilectrical Contracto
Add
Ci ty l'hone
Supervisor License Ndmber
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Blectrician
0vners e
1000 so.ft. or less
aJ nach additionar 500
&,
sq. ft or portion
thereo f
Each Manuf 'd llome or
Modular DweIIirig
Service or Feeder
Services or Feeders
Installatlon, Alteratlons or
Relocation:
200 amps or less
201 anrps to 400 amps I
401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
200 amps o.r less
201 amps to /r00 amps _
0ver 401 to 600 amps _0ver 600 amps or 1000 volt
SI'BTOTAL OP ABOVB
5f State Surcharge
TOTAL
B
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
$ 60.00
$100. 00
$130.00
s300.00
$ 40.00
t6
s
$
$ss
40.00
55.00
80.00
ee rrBrr aSove
not included)
40. 00
40.00
20.00
D Branch Circuits
Nev, Alteratlon or Extension Per Pane1
one circuit $ 35.00
Eactr A<ldi t ional
Circui t or vi th Servicq ,t
or Feeder Permit rl S 2.00 11
E l'liscellaneous (Service/ feeder
-Each installation
Plrmp or i rriga t ion $
sign/outline Lighting- $
Limited Energy/Res I S
RIiCI.]IV[D I}Y:
5 oo
3
Nev
C. Temporary Services or Feeders
Installation, Alteration or Relocation