HomeMy WebLinkAboutPermit Electrical 1999-11-18SP':lINGFIELE,
l-he tollowtng pro,ect as submitted hasthe lollowing
z,rnrng andloes not require specific land use
225 FIFTB STRXET
SPRINGFIELD, OREGON
TNSPECTION REQTIEST:
OFPICE: 726*3759
approval
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Zoning
477
AutJrgrlZSO Signatur€
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ELECTRICAL PERUIT APPLICATION
City Job Number
COMPLETE FEE SCEEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Hodular Dvelling
Service or Feeder
s 8s.00
$ r.s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
.-t
3
A
OF1
voo
30 lcn
TNSTALI,ATIONs. F)r
*r7
Sum
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1.80 days.
2. CONTRACTOR INSTALLATION ONLY B
Electrical Contractor ,^,)L
Address 83 a 50 oDs s0.00
s 60.00
s100. o0
s 130. 00
s300.00s 40.00
s 40.00
$ ss.00
$ 80.00
t:200 amps or
201 amps to
401- amps to
less I400 amps
600 amps.-<"4Ci ty
Constr Contr
Expiration Date
Supervisor License N
, ---1-1berJ/ /?.f 601 amps o L000 am ps
Over 1 /voIts
Re
Expiration Date /o C. Te
200
201
0ver 401
One Circuit
Each Additional
ces or Feeders
teration or Relocation
see rrBrt aEve-
r Panel
$ 3s.00
r ("3o
/D
Signat of LS Electrician
Ovners Name n
Address (o \,r.Jo.d[[*-"r.-tr
Ci ty e 741:3otD
OVNER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0rners Si re:
Over 600 a
D. Branch Circuits
Nev, Alteration or Ex ion Pe
Circui t or vi th Service..
or Feeder Permit j- $ 2.oo 17 *'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S
sign/outline Lighting- S
t imi ted Energy/Res S
Limited Energy/Comm $
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE'741A State Surcharge( 'u3% Administrative Fee
TOTAL
oo
3cl
RECETVED B .Lc
t,\
L
Phone