HomeMy WebLinkAboutPermit Electrical 1996-11-07ST>.?IFJGFIELO
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225 FTFTS, STREET :
SPRTNGFTELD, oREGoN 97477 ''
INSPECTION REQLIESTz 726-3769
OFPICE: 726-3759
1 TION
JOB
Permits are non-transfer Ie and expire
if vork is not started vith'in 180 days
of issuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTALI-ATTON ONLY
Electrical Contractor c-
Address -1t ZO fl11$1;,6u1 L^.)
Ci ty Phone t g* -blL!
Supervisor License Number 27rq s
Expiration Date o /q
Constr Contr. Number
Expiration Date Mlae qs ql
Signature Supervising Electrician
N;1 ,cr?5
ELECTRICAL PERHIT APP
City Job Number
3. COHPLETE FEE SCMDULE BELOV
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
l-000 sq. f t. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DvelIing
Service or Feeder
s 8s.00
s 1s.00
B
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
D.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -l-201 amps to 400 amps *
40L amps to 600 amPS _
601 amps to 1000 amPs-
0ver 1000 amps/vo1ts
Reconnect only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 600 amps
-
S 80.00
Over 600 amps or rbOO voTts see rrg, .ffi
New, Alteration or Extension Per Panel
Nr-
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Sum
s 40.00
s 3s.00
s 2.00
not included)
40.00
40.00
20.00
36.00
w
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0wne
Addr
Ci ty
rs Name
ess
Pho 1+1,qlDt
INSTALLATION
The installation is bei.ng made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
Miscelfaneous (Service/feeder
-Each installation
Pump or irrigation S
sign/outline Lighting- S
l,iii te<i Energy/Res
-
S
E
5
RECETVED
0