HomeMy WebLinkAboutPermit Electrical 1993-08-03OREGO't'C'TY OF SPR
:iPRINGFIELD
225 FTYIB STRBBT
SPRTNGPIELD, ORBGON 97477
INSPBCf,ION REOUBST: 726-37q9
OPPICB: 726-3759
',:n 1 projecl ag submitted hae the
'. I icesrrot require specific lanci
-t.1 q^
l'>BLBCIRICAL PERilIT APPLICATION
City Job Nwnber
SCEBDULB BELOII
A. Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0nly
D. Branch Circuits
E.
1 OP INSTALIATION
/711*.
I^EGAL DESCRIPTION
19r]I n<2 + r)3)nd
+I (^<C
Permits are non-transferable and expire
if vork is not started vithin L80 days
of lssuance or if vork ls suspended for
180 days.
Supervisor License Number
Explration Date /0- ?5
Constr Contr. Number 2647
Expiration Date 5-
Slgna ture of Supervising Blectrician
,1
(h,t<
C. Temporary Services or'Feeders
InstaIIatlon, Alteration or Relocation
200 amps or less S 40.00
over 401 to 6oo amps
-
$ 8o.oo
0ver 600 amps or 1000 voT[s see rrB'r aE6iG-
Sum
2. COI|TRACTOR INSTALIJTTION ONLT
Electrical Contrac,o, CSo.^f Ut'((r1 €kctc''s'
Address (C- {k x X1?oI l,ooT
Phone 777 Sto1
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
-/uci ty-Phone ?'1 l-
0vners Name \,1
Address 1n,&New, Alteration or Extension Per Panel
one circuit I $ 35.00 35 oO
Each Additional
Circuit or vith Service
or Feeder Permi t / $ 2.00 _NC>
Miscellaneous (Service/feeder not included)
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intendedfor sale, lease or rent.
()cners Signature:
DATE:
-Each installation
Pump or irrigation $
Sign/OutIine Lighting- S
Limited Energy/Res
-
S
Llmited Energy/Comm $
40.00
40.00
20.00
36.00
STIBTOTAL 08 ABOVB
5Z State Surcharge
TOTAL
RBCI]TVBD
t
rOR
5
city 2r<<-.<rOK
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