HomeMy WebLinkAboutPermit Electrical 1996-07-023PFII,{qFIELD
approval.
Zoni
I+\7&
opocilic land use
B
L EIJCTRICAL PBRH
City Job Number
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Adnini,slrative Fee
TOTAL
IT APPLICATION225 IIiF'i'U STREET
SPRTNGIIII]LD ' OREGON 97
INSPIiCTI0N REQUEST: 7
OFFICU; 726-3759
?a 0Kxq
i. L,OCA'IION OP INSTALLATION/o
DESCKTPTION
3. COHPI^ETE FEE SCHXDULE BELOq
Nev Residenr.ial-Slngle or
I1uI t i-PamlIY Per dvelling uni t '
Service Included:
items Cos I
$ 85.001000 sq. f t. or less
Each additional 500
sq. ft or portion
the reo f
Each Hanuf'd Home or
t'lodular DvelJ.ing
Service or Feeder
.' s 15.00
s 40.00
Se:.'vi ces or Feeciers
InstalIation, Alterations
or Relocation:
2C0 amps or less
201 amps to 400 anPs
-
401 amps to 600 amPS
-
501 amps to l'000 amps-
Over 1000 amPs/vo1ts
-
Reconnect 0n1Y
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
. LEGALlt oz 5 u/o,37 1T?.\
A
3
$ 50. 00
$ 50,00
$100.00
$130.00
s300.00
$ 40.00
Sum
aEiE
JOI} DESCRIPT]ON
Perm
if v
of i
180
i ts a.re tron-transferable and expire
ork j.s not started vi'thin 180 days
iiu"n"" or if vouk is susPended for
ciays.
2. CONT]TACTOR INSTALI.ATTON ONLY
iilec t r i ca I Cotr ! rac t or AtsLE ELECTRiC
/rddress 551i I'{AIN
Ci ty SPRINGFIELD Phone 7 26-67 Ol
Supelvisor L jcense Number 3023S
Ur:pirari c)n Dat,e 10-1-96
Corrstr Cont r-. Nuniber 92506
E>:pi ration Date 7 -16-s6
Signature of Supervising Electrician
1
200 arnps or less $
ior "'r,'pt to 4oo amps
-
torer +bt to 600 ami:s I $
over 600 amps or l0OOETfs se
40
E,q
BO
cl
,00
.00
.00
rrBrl
40. 00
40. 00
20.00
fulr LlEPIL P #stx
Branch Circui rs
New, Alteration or Extension Per Panel
One Circui t
Each Addi tional
Circuit or r.rith Service
or Feeder Fermi t
s 3s. oo; ..,/
$ 2.00
E. MiscelJaneous (Service/feeder not included)
-Each ins tallation
Pump or irrl.gatiol:
Sign/Out).ine Lighting
-Limi ted EnergY/Res
-
Limi ced EnergY/Comm
3217,DSt*rrt*7.,€{i{r,,,C
Address @6 fuF
OVNEIT INSI'ALI,ATION
'lhe itlst.rlfarion is being r'rade on
l)roport)' I oun which is not intended
Ior sa]e, lease or rent'
Ci ty
0vners Signature:
(
sq
q 00
o
36
a,q
DATE:
RECEI
ct5
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