HomeMy WebLinkAboutPermit Electrical 1999-06-23OREGO'VCITY OF SPB
The tollowing proiect ass ubmitted has the tollowlng
transferable and expire
tarted vithin 180.daysf vork is suspended for
and does not require sPecific land use
r_D {"/
-*n
SPRIHGFIELO
ELE TPJCAL PERHIT APPLICATION
zoning
225 FrFTE STREET apProval'
SPRINGFIEI,D' OREGON 97 477Zoning
INSPECTION REQTIEST:
0FFICE: 726-3759
Authorized Signature
1.
DESCRTPTION
IF
NOT
4qo(5t-Ci ty Job Number
3. COHPIJTE FEE SCMDULE BELOg
A. Nev Residential-Single or
ot the rules by
00
St Sum
.00
OR
Electrical Contractor
Address R;
Ci ty
[\y?\41. r"l^rll
of issuance or i
180 days.
2. COI{TRACf,OR INSTALI,ATION ONLT
.00
Mod
Service or Feeder $ 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 1000 amps/vo1ts
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amPs
-
Over 401 to 600 amPS
-
0ver 600 amPs or 1000 volts
Branch Circuits
Nev, Alteration or Extension Per Pane1
s s0.00
s 60.00
s100.00
$130.00
s300.00s 40.00
a
B.
l$c.
c
D
^e5D
-
$ 40.00
$ ss.00
s 80.00
see rrBtt a566
hone 7 ql 3)q
FqaSSSupervisor Lic
Expiration Date.
Constr Contr. Number L
Exp iration Date I
Signature of singrElectrician
0 rLr
Ovners Name
Address l)
Ci ty Phone atb-16q
OVNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
One Circuit $ 35.00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2'00
E. Hiscellaneous (Service/feeder not included)
e Number
to[@,
f
-Each installation
Pumo or irrigation
iigirzout r ine-Ligh t ing-
Limited EnergY/Res
-
Limited EnergY/Comm
$
$
$
$
40
40
20
36
C)
00
00
00
00
f1)
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAIRECEIVED
5
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