HomeMy WebLinkAboutPermit Electrical 2001-01-10CITY OF SPF'ATGFIEI Of,ilF-r?f,,ff
SPI iFIELO
approval CC-ftHT RE[n: r $ 44.0{-J
IHAI,IGI:- IASHIER:00i
Zoning t-l-oDate
225 FrFTE 'TREET
Autnorrzeo signature
SPRINGFIELD, OREGON 97477
INSPECITION REQUBSTz 726-3769
OFFICE: 726-3759
1 INSTALLATIONhc"t-k Bu,14,
LEGAL DESCRIPTION
DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTAII..ATION ONLY
Electrical Contractor h
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nu-mber o L 5-ol
COUPTETE FEE SCMDULE BELOS3
A Nev Residential-Single or
Multi-Family per dvelling unit
Service Included:
I tems Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd liome- or
-Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect OnlY
Ci ty
Superv isor Licens r
Expi ra t ion e
Cons t tr. Number
oiration Date
Signature of Su sing Electrician
lkTba
Ovners Name l/c,*A,lr.
Address o 6ax 3/
vz)
Ci Phone
OVNER ALLATT,N ?l l" t
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0rners Signature:
DATE:
Cos t
s 8s.00
$ 1s.00
s 40.00
^o11
C-t
B
C.
D.
E
s s0.00
s 60.00
$100.00
$130.00
s300.00s 40.00
Temporary Services or Feeders
Insia1laiion, Alteration or Relocation
over 4b1 to 6oo amps
-
$ Bo.0o
Over 600 amps or lbOO vofTs see uBu ab5vE-
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
s
s
$
$
40
40
20
36
O
.00
.00
.00
.00
5
RECEIVED
O-ot
LOCATION OF
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAL
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