HomeMy WebLinkAboutPermit Electrical 1995-06-02Uttc
SPRINGFTELD 0REGoN 97477
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JOB DESCRIPTION
Nev Residential-Sing1e orMulti-Family per dvetling unit.Service fncluded:
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CAL PERHTT APPLICATION
b Number 0 rq l
Cos t
s 8s.00
s 1s.00
s 40.00
s s0.00
s 50.00
$100.00
s130.00
s300.00
$ 40.00
The following projoc-t as submrtled has the
225 FrFTE STREET il;lH'ri"'does not requiro spec;ric rar'd
I-DLq{
fo!lc,ving
use
BLECTRI
Ci ty JoINSPECTTON REQIIEST: 726-37OFFICE: 726-3759 Dale
1. LOCATION OP rNsrArflxflffia sio fvb. coHpLETE FEE scEEDtLE BELos
A.
I A K<0tr1<?a4
f tems
1-000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home. or
-
Modular Dvelling
Sertice or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less t
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-0ver 1000 amps/vo1ts
-
Reconnect Only
Sum
50_:Address ON
B.
c
D
Er
citv pYle+ Yno"" 7373)7L
Supervisor License Number 4Oq +-,
Expiration Date
Constr Conrr. Number qb Lb
Expiration Date
Signa of ising Electrician
Owners Name Nl
Address
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40.00201 amps to 400 amps
-
S 55.00Over 401 to 600 amps
-
$ 8O.OO0ver 60O amps or 1000-vo-fts see ,rBr aE66
Branch Circui ts ; ..
Nev, Alteration or Extension per panel
One Circuit $ 35.00Each AdditionalCircuit or vfth Serviceor Feeder permi t | $ 2. O0 2,2
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-Limited Energy/Res
-
Limited Energy/Comm
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Ci ty <lr'to
OIJNER INSTAILATTON
Phone -7b U
The installation is being made onproperty f ovn vhich is not intendedfor sa1e, Iease or rent.
0vners Signature:
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
$
$
$
$
40.00
40.00
20.00
36.00
ao
DATE:
RECEIVED
S o
,o
Permits ire non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended for180 days.
2. CONTRACTOR INSTALT,ATION OT{IY
Electrical contrac to, *tBilg Etgtpfl