HomeMy WebLinkAboutPermit Electrical 1997-04-22SPRINGFIELt)
225 FIFTS STRXET
t"!'I, \\* - _....,.-
SPRINGFIEID, oREGON 97 477
INSPECTION REQLIEST: 726-376i
OFFICE: 726-3759
1
JOB DESCRTPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACf,OR TTON ONLY
Electrical Contracto
Address
C
EI,ECTRICAL PERHTT APPLICATION
City Job Number oo2
3 COHPIJTE FEE SCMDULE BELOV
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular 'Dvel1ing
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
Sum
S
Expiration Da," \f) '\
B Services or Feeders
Installation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1.000 amps-
over l-000 amps/volts
-
Reconnect OnIy
C Temporary Services or FeedersInstallation, Alteration or Relocation
D- Branch Circuits
Nev, Alteration or Extension Per Panel
380s
$ s0.00
s 60.00
$100.00
s130.00
s300.00s 40.00
Constr Contr. Number
Expiration Date
Signat
Ovners Name
\Ctsft\?
;rn
200 amps"or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 40L to 600 amps
-
g 80.00
Over 600 amps or 1000 voTts see rrBrr aE6ve
Address 2AS E
ising E
lt r
Ci ty
OIINER INSTAII^ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
E. Hiscellaneous (Service,/feeder not included)
-Each insta]lation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI,
n(/,uv r Phone
One Circuit _L_Each AdditionaL
Circuit or vith Service
or Feeder Permit
$ ss.oo 3rO
$ 2.00
s 40.00
s 40.00
$ 20.00
$ 36.00
5
RECETYED B //1--
c
CENSE
:,
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=.-F.I..lGFIELO
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. .,225 FTFTE STREET : I I
SPRINGFTELD, OREGON 97477. . I.
INSPECTION REQUESTT 726-3169
OFFICE: 726-3759
1.LOCATION OF/v 7; /L/-Lc)(/,
ON
JOB ON
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor
Address
-rt't*k
ELECTRICAL PERHIT APPLICATTON
,[4
B. Services or Feeders
Installation, Alterationsor Relocation:
Job Number
COMPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq. f t. or less
Each additiona] 500
sq. ft or portion
thereof
Eaeh Manuf'd Home. or
-Modular Dvelling
SerVice or Feeder
s 8s.00
s 1s.00
s 40.00
02 I
3
A
Sum
Ci ty Phone
Supervisor License Number
Expiration Date -4&
Constr Contr. Number 547(g
Expiration Date 5-17
Signature o Supervising Electrician
0vners
Address 5
Ci Phone
OVNER INSTALT,ATTON
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent.
Ovners Signature:
DATE:
200 amps or less
201 amps to 400 amps
-401- amps to 600 amps
-601 amps to 1000 amps-
Over l-000 amps/volts
Reconnect Only
5
$ s0.00
s 60.00
s100. 00
s130.00
s300.00
s 40.00
C Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps'"or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 6O0 amps or 1000 voITs
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Nev, Alteration or Extension Per Pane1
one circuit -J- $ 3s.oo LEach Additional
Circuit or vith Serviceror Feeder permit"-- "'""t S 2.oo Z-
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S
Sign/OutIine Lighting- SLimited Energy/Res
-
$Limited Energy/Comm S
0040
55
80
$
$
s
s
.00
.00
ee rrB* a6ove
E
5
40.00
40.00
20.00
36.00
RECETVED
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