HomeMy WebLinkAboutPermit Electrical 1993-05-07C'TY OF
SI'TIINGFII:LO
225 FTFTE STREET
SPRINGFIELD, oREGoN 97477
TNSPBCTI0N REQUBSTT 726-3769
OFPICE: 726-3759
1 LOCATTON OF{3r/ ./ta,
INSTALI,ATION
h t.
BLECTRICAL PERHIT APPLICATION
Ci ty Job Number ? Ve64=:
3. COHPLETE FEE SCHEDULB BELO\J
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
atu
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 500 amps _ $
0ver 600 amps or 1000 volts se
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation _ $
Sign/Outline Lighting_ $
Limited Energy/Res $
Limited Energy/Comm $
T
A
^ LEGAL DESC".IPTION
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Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT{ITRACTOR INSTALTATION ONLY
Electrical Contrac to, Sfc,'rt 4.,:/r/c Q,.
eaacess P 0. tt'x, 2s iz
Ci ty fr4;ar.-Phone *f.f-7*S-5-
"/
Supervisor License Number iSit ,5
Exp iration Date ,r'O/ff
Constr Contr. Number 3C fJ <-
Exp iration Date 4/
Signature of Supervising Electrician
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Owners Name
Address
Ci Phone
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
200 amps or less /
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
B
$ s0.00
$ 60.00
$100. 00
$130.00
$300.00
$ 40.00
40
55
80
r€
.00
.00
.00
il8il
so, tl
above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci.rcuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit 'z- $ 2.00 _U":
.tl
5
not included)
40.00
40. oo
20. 0o
..{.1- aoSUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
RECEIVED BY:
1 '70
::41 '7t'