HomeMy WebLinkAboutPermit Electrical 1998-02-13Superv isor License Numbe, 3 OO 6 5
Expiration Date o-74
Constr Contr. Number
Expiration Date -*/ 8-7,8
Signature of Supervising Electrician
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DESCRIPTION
ts are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI,ATTON ONLT
Electrical Contractor
Address el
ci
0vne Name
Address flw
Ci ty trlll Phone (at ty
OVNER INSTALINTION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner$Signature:
DATE:
SPfl,..GFIELO
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
The following Proiect as aubmltted hat tho
;;;,rg, ;d?beanot roquire ePocillc land
approval.
225 FIFTE
SPRINGFIEI,D,
INSPECf,ION REQTIEST:
OFBICE: 726-3759
767
uoJ oSNOoNVgv sl uo o3cN3mt'{oc
ION SI II^IU3d SIHT U3ONN o3AUOHMV
OM SHIJI 3U I dH flfi4$'![$EB& Sns8xrr
City ia9l[0N.
3. COMPI,ETE FEE SCEEDT'I,E BELOV
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
Each Manuf'd Home- or
Hodular 'Dve1ling'
Sertice or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
40L amps to.600 amPs
-
601 amps to 1000 amPs
over 1b00 amps/voIt;
-Reconnect oniy
Temporary Services or Feeders
Installaiion, Alteration or Relocation
Branch Circuits
Nev, Alteration or Extension Per Panel
-o one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)E.
uaa
.B
c
1 "[,TltT]\t"ffj A
t'm H',ffiTb tool Sumt5
&
s 50.00
s 60.00
s100.00
$130.00
s300.00s 40.00
200 amps"or less $ 40'00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 am-ps
-
S 80.00
Over 600 amps or l()OOEfts see nBr'a566
-Each installation
Pump or irrigation
-
Sign/Out1ine Ligh ting-
Lirni ted EnergY/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
s 20.00
$ 36.00
5
RECETVED B
J
3
c
sP,.. iFtGLo
@fi,o"''rr-"oJbf-**
,-,{6j*-1L2-25 FTFTB STREET
SPRINGFIEI,D,oREGoN 97477
INSPECf,ION REQUEST:
OFPICE: 726-3759
726-3769'
Permits are non-transferable
if vork is not started vithin
of issuance or if vork is sus
180 days.
180
pend
DATE:
ELECTRTCAL PERHIT AP
Ci ty Job Number
3. COHPLETE FEE SCMDTILE BELOV
A Nev Residential-Single or
Hulti-Family Per dvelling unit'
Service fncluded:
CONTRACTOR INSTALLATION ONLY
EIec ical Con t rac to r
Address
Ci ty
Supervisor Lice r
Exp iration Date
Constr Contr.mber
Expi ra t io te
Signa of Supervising Elect
Ovners Name
Add
Ci ty Phone
O\{NER
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
S"cr, l{"trf 'd Homer or
-Hodular.'DvelIing'
Service or Feeder
Services or Feeders
InstaLlation, ALterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
i""i.ii"ii"", Alteration or Relocation
200 amps''or less I f :9'99 @ioi ;;; io aoo amPs
-
t :t'99o;;t-46i to 600 amPs
-
S 80'00
or"; OOO amps or-1600-"oft" see rrBrr a56G-
Branch Circuits ; .'
Nev, Alteration or Extension Per Panel
200 amps or less
2O1. amps to 4O0 amPs
-
401 anps to.600 amPs
-
601 anfs to 1000 amPs-
over 1000 amPs/volts
-
Reconnect OnIY
-Each installation
Pump or irrigation
sigir/OutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
Cos t
s B5.oo
$ ls.oo
$ 40.00
Sum
expire
, days
ed for
-a.
.B
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
C
D
E
One Circuit
Each Additional
Circuit or vith-service
or Feeder Permi t
-
$ 3s.00
$ 2.00
Miscellaneous (Service'/feeder not included)
The installation is being made on
p.or"rty I ovn vhich is not intended
1or sa1e, lease or rent'
Ovner$;$ignature:
s 40.00
s 40.00
$ 20.00
$ 36.00
5
Phon
Nu
R.ECEIVED B
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