HomeMy WebLinkAboutPermit Electrical 1999-01-20(
SPFlIl\lGFIELT)
APPLICATION225 FIF"IE STREET
SPRINGFIELD, OREGON
INSPECf,ION REQIIEST:
oFPICE: 726-3759
1. LOCATION OF TNST
97 Ioots7
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SCRIPTION
NOTI
JOB DESCRTPTTON
E IF THE e and expire
of issuance or if vork is suspended for
180 days.
2. COI.ITRACTOR INSTAITATION OI.ILY
Electrical Contractor
Address J86 DrD" 3/{r/az -
citv QOft,na>,-A phone J2? -?B b?
Supervisor License Number 3rc 5S
Expiration Date o
Constr Contr. Number 1,i567
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address
City S'P4ber;rn lZ Phone
FEE SCEEDULE BELOV
A. Nev Residential-Single or
t
Permits are no
if vork is not PEFTfTMftffiii in 180 days
o090
telePhone
NoriticatiorS 15.00
85.00
).
g 40.00
Cost Sum
00
00
00
00
00
00
+
ce or Feeder
B. Services or Feedersfnstallation, Alterationsor Relocation:
200 amps or less
20L amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-over 1000 amps/volts
-
Reconnect 0n1y
60
100
130
$
$
$
$
40
55
BO
$
50
$300
$40
200 amps''or Less
201 amps to 400 amps
-
over 40L to 600 amps
-
Over 600 amps or 1000-volTs
D. Branch Circuits
New, Alteration or Extension per panel
Circuit or vith Serviceor Feeder permi t Z $ 2.00 b.A
E. Miscellaneous (Service/feeder not included)-Each installation
Pump or irrigation g 4O.OOSign/outline Lighting- i +O.OOLimited Energy/Re $ ZO.0O
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAI
C. Temporary Services or Feedersfnstallation, Alteration or Relocation
s
s
s ree .bove
00
00
00
Brt a
k)
OITNER INSTAILATION
The installation is being made onproperty f ovn vhich is not intendedfor sa1e, lease or rent.
0vners Signature:
DATE:
OFEGO'V
RECETVED
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Mul t i-Fami r dve
Servi
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