HomeMy WebLinkAboutPermit Electrical 1999-10-12CITY OF SPF'A'GFIEL,,, oREGOn
,lpproval
225 FrFTE srtsEET Zonins
SPRINGFIEI.D, ORBGONE
INSPECf,T0N REQI Bsr',,,,2|$sttrftt,"
OFFICE: 726-3759'
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ELE TRICAL PERHIT APPLICATION
Ci ty Job Nunber 8 C
3. COHPIATB PEE SCEEDIII.E BELOVQPJz
=A=
&€Besidential-Single or
, Ed #Ht":'ti:t"t!I,'""'l::"un"..".g g 9ooo sq.f t. or less S 85.00
# H E."tr adaitional 5oo
I I [sq. ft or PortionPlXthereof $15.00
? *. #".h Manuf 'd Home. or
-5 =
mHodular Dvelling
= H -service or Feeder $ 40.00
trt-<os-
X # Bervices or Feeders5 ! $nstallation, Alterations
9 *t Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amPs
Over 1000 amps/volts
Reconnect OnIy
c.
SPrlIi.GFIEL.,
SUBTOTAL OF ABOVE
7% State Surcharge
32 Admini.strative Fee
TOTAL
ihe loll
zoillng
,"Il:r.rJ:lT:iffix#:"r*fi i"'i:".t'1,",:'"n
1. LOCATION OF INSTu43
I,EGAL DESCRTPTI 9I ,3
JOB DESCRIPIION otG&
Permits are non-transferable and expire
lf vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. CO!|TRAC:TOR INSTALI,ATION ONLY
Electrical Contractor BuLetll l..re5,
Address
citv 5p Cil Phone ?ti? -27?v
Supervisor License Number a) & i 5
o
0vners Name a,lSo at r. ?eret // -
Address sq ?.,Lzlh L,o
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35'00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder not included)
200 amps"or less $
201 ambs to 400 amPs ]- Iover 4bi to 6oo ambs
-
$
over 600 amps or TOOOEIs s
-Each installation
Pump or irrigation _-Sign/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
oo
1lm!
Sum
40.00
55. OO
80.oo
ee nBtr aE66
-L
-
s s0.00
$ 60.00
s100.00
$130.00
s300.00
$ 40.00
Expiration Date
Constr Contr. Number 'ZO 'Z qq C
Temporary Services or Feeders
Installaiion, Alteration or Relocation
cl tv S e I lJ Phone ?tl')st3
OVNER INSTALI.ATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
E
s 40.00
$ 40"00
s 20.00
$ 36.00Ovners S
DA?EI
5
l,<D
C4 ---'RBCETVED
ture:
Expiration Date t0 'O I -Oo
Signature of Supervising Electrician