HomeMy WebLinkAboutPermit Electrical 2000-5-23
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SPRINGFIELD, OREGON 974/7 - \
INSPECTION REQUEST: 1tg>~mSignature I4AJ
OFFICE; 726-3759
City Job Number ~~~-~/
3. COIlPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTATT ATION
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LEGAL DESCRIPTION
J ?.L:P";:r~4i' "': / ~ ~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
- ,
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
Services or Feeders
Installation, Alterations or
Relocation:
2. CONTRACl'OR INSTALLATION ONLY
B.
Electrical Contractor SCOFIELD ELECTRIC
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Address PO BOX 2765
Ci ty Rru~Rm;. _ nR
Phone
686-8612
Supervisor License Number
508-S
10/01/2001
Expiration Date
c. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
38702
12/21/01 '
S 40.00
S 55.00
$ 80.00
vol ts see "5"
or less
to 400 amps
to 600' amps
amps or 1000
200 amps
201 amps
Over 401
Over 600
Expiration Date
S~ffrvisi g Ele
Owners Name~~~
Address 94 :? ~1f'.2'''''''''''''~. ~~
- ,.,. -."
Ci tyh .~~ Phone ~ -Y218?
~/
01lNER INST ITON
above
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Ci,rcui t I S 35.00 ~~ ,p(?
Each Additional
Circuit or with Service ~.~
or Feeder Permit 3- S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
_ Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
t.f~ ' t!J4>
ly!?/
.29
q ']'- 3~
5. SUBTOTAL OF ABOVE
~ State Surcharge
37. City
TOTAL
DATE:,
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