HomeMy WebLinkAboutPermit Electrical 1999-08-09C'TY OF OFEGOA'
SP GFIELE,
BLECTRICAL PERHIT APPLICATION225 TIFTE STREET
SPRINGFTEID, oREGoN 97 477
INSPECTI0N REQIIESTz 726-3769
OFFICE: 726-3759
1. LOCATION ee
t33 od
JOB DE
Permits are non-transferable and exp
if vork is not started vithin 180
City Job Nunber
COHPLETE FEE SCEEDTII;B BELOS
Nev Residential-Single or
MuLti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
$ 8s.00
$ r.s.00
Manuf'd Home- or
$ 40.00
OB
lat i ofl I rat ions
? TroEL
3
A
Sum
T,CEJ
of issuance or
180 days.
2. COMRACTOR
Electrical Cont
if vork is suspended
INSTAII..ATI
rac tor
'#"
Address
Ci ty Phone
Supervisor Lice Number
Expi ra t ion
Constr Con
or Relocation:
200 amps or less /
201 amps to 400 amPs
-401- amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
g so.oo {!-$ 60.00
$100.00
$130.00
s300.00
$ 40.00
rs
Reloca t i on
$ 40.00
$ ss.00
$ 80.00
see rrBrr above
i r r?Vli ieQUl{U:Reconnect OnlY.1.1
ATTLTt IIL,,I\.\JIUUU o
Center Those rules ar
inOAR
Dat You maY obtain coPies of the
of Su isl
ary Services or Feede
Iat ion, Alteration or
rules bY
200 amps''or less
01 s to 400 ampsamp
r400ve 1 to 600 amps' Over 600 amPs or 1000
D. Branch Circuits
E
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
uriiit
Expi ra t ion
Signature ,-6r[s
0vners Name C
ell
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
$ 3s.00
s
Address l33 t
Ci ty
DATE:
rs Signature:
Phone 1q7't L.lg.l
Circuit or vith ServicT-
or Feeder Permi t 3 2.oo / o
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Miscellaneous (Service/feeder not included)
-Each instal-lation
Pump or irrigation
-
Sign/0ut1ine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
s 40.00
$ 40.00
$ 20.00
s 36.00
h065
RECEIVED
11
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