HomeMy WebLinkAboutPermit Electrical 1999-08-07CITY OF OREGONt
The foltowlng proiec! aS SqbrnFte!{ ha5 tf6 r,.lin
ZOiri...,, :";O Oties noi fequiroJ si:.-,.: ,;;. land ';.,o
api.r's!'el.
SPRTNGFIELD
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DveIIing
Service or Feeder
225 FIFTE STREET Y.7 -1(SPRINGTTEID, OREGON 9747f 4!i,l
TNSPECf,ION REOIIBST:
OPPICE: 726-3759
726rt199,,.,t
1 IOCATION OP INSTALI,ATTON
S {?qzy
IJGAL DESCRTPTION
JOB DESCRIPTION
BIJCTRICAL PERI{IT APPIJCATTON
ci Job Nunber
3. COT{PLSTE FEE SCMDULE BELOS
A. Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:Items Cost Sum
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI{TRACTOR INSTALI^ATION ONLY
Elecrrical contrac,or \U^, 's tl..htl
Address f,o. Nc7 9.59{
Ci ty
Supe
Nc qlqoz Phone 13{'E363
rvisor License Number 38 ll 5
ExP iration Date /o-l-qf
Constr Contr. Number ?Pt fl r{
Expirat ion Date 8 -20- 16
Signature of Supervising Electrician
200 amps or less
201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Services or FeedersInstallation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
=
$ 8s.oo E9
$ 1s.oo _z€
$ 40.00
B
ss0
S60
s100
s130
s300
s40
.00
.00
.00
.00
.00
.00.'
OSNER INSTALINTION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent.
Osners Signature:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
ioi "rb= to 4oo amps
-
$ 55.00
or.r abr to 600 amps
-
S 80-00
-or"i eoo ;p; or rbooGfts see uBu a566
Branch Circui ts ; .-
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
sr"h aaaitionalti;";ii-oi "itt service
or Feeder Permit
-
$ 2'00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
L
c
D
E
Ovners Name
Address
Ci ty
S
,non" 7q l; b? 5 I
3:
s 40.00
s 40.00
$ 20.00
s 36.00
4Xr>
5
DATE:
RBCEIVED
isz-zfi^uY ?4322
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