HomeMy WebLinkAboutPermit Electrical 1995-03-27/ee6/ailvnL SPRIn|GFIELO
EIJCTRICAL PERI{IT APPLICATION
City Job Nunber
I tems Cos t
$ 8s.00
I,EGAL DESCRIPTION
Address
ci one
ON
The installation is being made on
property I ovn vhich is not intendedfor sa1e, lease or rent.
Ovrrers Signature-.
DATE:
hAo{>
225 PTfrE STREEf,
SPRn{GEIELD, ORBGoN 97 477
INSrgCf,rOU REQUEST: 726-3
OFFICE: 726-3759 )Tggtihortzoo
1 OP
3. COHPI,ETE FEE SCffiDTII,E BELOII
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:Electrical Contract or/?c /<h1zte r(tmt d'eV
Address P,o, e)x ///
$ty@no"e 74L'/d9
Supervisor Licens e Number 3Z7O S
Expiration Date /o -/-f5
' Const r Contr. Number 6faeg
Expiration oate 3- 13 -16
Signa of Supervlsing Electrician
Owners Name
Permits are non-transferable and-expire
ii-"ork is not started vithin 180 days
of i""r"n"e ot if vork is suspended for
180 days.
2. COIITRAC'TOR INSTALI,ATION ONLY
\t---
B
$ 40.00
$130.
$300.
Sum
00
00
00
'B' aE6liiil
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0niy I
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amfs to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-T6T[
-Each installation
Pump or irrigation
flsn/?utline Ligh ting-Linited Energy/i,es v-
r,rmr ted Energy/Conn
-
s s0.
$ oo.
$100.
00
00
00
00
00
00$ 40.ru
$ 40.
$ ss.
$ 80.'s see rl
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service,/feeder not included)
$
$
$
$
40,00
40,00
20.00
36,00
ST,BTOTAL
5.I State
T€+dil
00
NECETVED
OP ABOI{E
Surcharge
zcb
+3 .zo
$ 1s.00
i
5.