HomeMy WebLinkAboutPermit Electrical 1999-07-14SP. jFIELl,
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225 FIFTE STREET lrur,iur'ze.
SPRTNGFTELD, oREGoN 97477
INSPECf,I0N REQITEST z 726-3769
OFFICE:' 726-3759
1.
'A^"a
Zoning (_
fiate ?-,--a
Signdture PERilIT APPLICATION
ty Job Nurnber 7?o fb r
3. COHPI.ETE FEE SCE3DIIIJ BELOS
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
service rncludedt ,,"*" cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular 'Dve1ling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
400 amps
IJGAL DBSCRIPTIONl'1nzzf 3 r 6 6rDO Sum
Permi ts are nolif vork is notof issuance or
1.80 days
'2. CONTRACTOR
n-transferable and expire
.started vithin 180 daysif vork is suspended for
'' ;
INSTALI,ATTON ONLY
, -\=
rb*)
UNDEB
c
B
. Electrical Contractor
Address P,0. fuY g rl
fr "{ba.i*L,lrz
50.00
60.00
__------'
'Supervisor License Number
1000 amps
amps/voI ts
connect
Temporary Services or Feeders
Installation, Alteration or Relocation
100. 00
130.00
300.00
40.00
$
s
$
s
s
$
s
$
$
$
l tD-l-
Constr contr. Number Ae 3C 1-CBd.3.AA
iration'Date lO,t-OO
gna rvising Electrician
0vners Name
Address 4073 t'fuT,prc St'{a tl
200 amps''or I'ess $ 40.00
201 amps to 400 amps
-
S 55.00
over 401 to 600 amps
-
S Bo.0o
over 600 amps or 1000 voTEs see rtgtr 6ffifl
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Ionecircdit / $35.00
Each Additionaf
a5e
Circuit or vith Service
or Feeder Pettai t 3 S 2.OO bU)
Miscellaneous (Service/feeder not included)
as.
Ci ty
OgNER. INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease'or rent.
Ovners Signature:
DATE:
5. SUBTOTAL OF ABOVE
7 .8f State Surcharge
3i( Administrative Fee
TOTAL
-eemiE
nufnrie
E.
40.00
40. 00
20.00
36.00
CITY OF SPP OREGON
,RECEIVED
4/ N
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