HomeMy WebLinkAboutPermit Electrical 1995-02-06SP'lI}TGFIELE'.
The tollowing proiect
Ioning" and does not
as submitted has the
require sPecilic lanc
{ollowing
225 FIFTE STREET
SPRINGFTEI,D OREGON 974
INSPECTION REQITEST z 72
oFFICE: 726-3759
1.INSTALLffiiOffEd
use
EIASIRICAL PERITIT APPIJCATION
City Job Nunbe'9e!-/ tf (:
r8t COHPLETE SCEEDUI,E BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
service rncruded' ,a"rs cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Hanuf'd Home or
-Modular Dvelling
Sertice or Feeder g 40.00
LOCATTON OP\a? i1^il[,)
LEGAL
JOB DESCRIPIION
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
L80 days.
2. COT.ITRACf,OR TNSTALI,ATION ONLY
-:
I 3 Sum
Electrical Contractor
Address
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
200 amps or less I
201 amps to 400 amps _40L amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 ambs to 400 amps
-0ver 401 to 600 amps
0ver 600 amps or 1000-168s
B
Phone tttLl -AAA b
$ s0.
$ 60.
$100.
$130.
40.00
55.00
80.00
5'o, oo
:
00
00
00
00
00
00
cit
Supervisor L ense Number ld"r6"\
Exp iration Date lO - i -q 5
Constr Contr. Number OX8 4g
!Expiration Date g-t--qs
Signa.of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
S3oo
c
$40
ee rBx a56E
.5'o. oc:
$
s
$
s
Ovners Name
Address
0 Phone 'l +4 - {sotCi
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
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. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
SignZOutline Lightins_ $
Limited Energy/Res
-
$
Limited Energy/Comm $
40.00
40.00
20.00
36.00
5
CITY OF SPR o,lEGOTV
DATE ! ,frt
t,. 50
.5+, O(1
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