HomeMy WebLinkAboutPermit Electrical 1995-09-21LEGAT DESCRIPTION
JOB
Permits are n-transferable andr expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACTOR TNSTALI,ATION OIfi,Y
Electrical Contractor
sPtuNGtsrELo
I
STIBTOTAL OP ABOVE
5Z State Sureharge
TOTAL
ab
225 FIFTE SlREEf,
SPRINGFIELD, OREGON 97 477
INSPECf,ION RBQUESTz 726-3769
OFFICE: 726-3759
1
EI.^BCTRICAL PERHIT APPLICATION
City Job Nunber VI
3. COHPIJTB FEE SCEEDUI^E BELOIJ
A Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations or
ocation:
Sum
ON
Address qAS l),nfa;d 200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation S
Sign/0ut1ine Lightine S
Limi ted Energy/Re s --T- S
Limi ted Energy/Comm S
$
$
$
$
$
$
60.
100.
130.
300.
above
$ 2.oo
not included)
40. 00
40.00
-20.oo w
36.00
cm)
50
40
00
00
00
00
00
00
Expiration Date 3
constr contr. Number ffi70?
Expiration Date
ture of ing Eleetrician
rs Nanie
Address t{lt S CAr{b/
ci ty tu{ Cl{ru.0 PhoneU-
OVNER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Onners Signature:
Temporary Serviees or Feeders
Installation, Alteration or Relocation
c
200 amps or less S
201 amps to 400 amps
-
$
0ver 401 to 500 amps _ $
0ver 600 amps or 1000 volts se
40.00
55.00
80.00
,e ilBl|
D. Branch Circuits
Nev, Alteration or Extension Per Pane}
s 3s.00
E
5
1
DATE:
RECEI
1 'fa
PT -- Q, c)
OREGOTU
RECEIVED BY:4 /-Qo
cirv tt aCpttrtlL vnone 31tJ,-.D1 /
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Supervisor License Ndmber aq].TlG