HomeMy WebLinkAboutPermit Electrical 1993-02-11225 PIFT.E STREET
SPRINGFTELD, oREGoN 97477 ,
INSPBCTI0N REOUESTs 725-3769
0FPICE: 726-3759
1 LOCATION OF ON
SPFI iFIELD
LD g
EECTRTCAL PERHTT APPLTCATION
City Job Nunber
3 COHPLETE FEE SCEBDIILE BELOV
Nev Residential-Single or
Hulti-Family per dvelLing unit.
Service Included:
I tems Cos t
T-
oN l7o3Aa\3 oLEGAL DE
JOB DESCRIPTION
t/v t , rtJc
Permits are non-trans ferable and expire
if vork is not started vi.thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAII,ATION ONLY
1000 sq.It. or less
'.Each ariclt:onaI 500
sq. ft or portion
thereo f
Each Hanuf 'd Ilcme or
-Hodular D-*e11ing
Service cr Feeder
Sum
Electrical Contractor LG,4"L,>
Address P"U, Bo-f 2Gl
city S# l{Phone -7q4-0?df
-T--Supervisor License Number 2666-s
Expiration Date ,l
Constr Contr. Number 2-o -uq4 C
Expiration Date la
Signature of Supervising Blectrician
q..
Ovne rs Name Jnn rT 0qc-*5
Address lcq b L,t'.'le'-'
city iP*[c Phone 7Ll 7 -?o'-lo
T
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orrners Signature:
DATE:a-
Services or Feeders
Ins ta)-Iation, Alterations
or Relocation:
200 amps or less i
201 amps to 400 amps _401 amps to 600 amps _60L amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0nIy
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps or less $ 40.00
20L amps to 400 amps
-
$ 55.00
over 4b1 to 6oo ambs
-
$ 8o.oo
Over 600 amps or ibOO voTts see trBtr a56tE-
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Hiscellaneous (Service/feeder not included)
-Each instalfation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited Energy/Res
STIBTOTAL OF ABOVE
5X State Surcharge
TOTAL
B
c.
D
B
s Bs. cc
s 1s.00
s 40.0c
s s0.00
$ 60.00
s100. 00
s130.00
s300. 00
$ 40.00
$
S
s
$
00
00
00
00
c)
40
40
20
5
RECEIVED
36
I
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