HomeMy WebLinkAboutPermit Electrical 1998-03-05.",;rrffilnor#rffi
sPR .;FIELO
ELE TRICAL PERUIT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Mantrf'd Home or
-Modular Dvelling
Service or Feeder
B. Services or Feeders
InstalIation, Alterations
or Relocation:
225 FTFTS, STREET
SPRINGFTELD, oREGoN 97
fNSPECTfON REQUEST: 7
OFPICE: 726-3759
1. LOCATION OF
ON
4 7
7
3
A
City Job Number
COUPLETE FEE SCEEDTILE BELOIJ
Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service Included:
Items Cost Sum
(\
JOB DESCRfPTI0NaiD-tir&_ lca "-4/{YtlPermits are non-transferable and expire
if vork is not started vi
of issuance or if vork is
180 days.
2. CONTRACTOR INSTALLATT
thin 180 d ays
ed for
Electrical Contractor
Address p{L
*ca
Phone I o'4ro
Ci ty
Superv i License Number ?f € 4-
Expiraiion Date
C
Constr Contr. Number 6 3 t37
Expiration Date g
Signature f Supervising Electrician
D
Ovners N
Address
Ci rrr Phone
OVNER INSTALLATION
The instaLLation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
Ovners Signature:
DATE:
r less /
o 400 amps
-o 600 amps _o 1000 amps_
amps/vo1ts _0nIy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 6oo amps
-
$ Bo.oo
Over 600 amps or 1000 voTts see rrBrr above
Nev, Alteration or Extension Per Panel
one Circuit $ 35'00
nu"n Aaaitional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
S
$ 8s.00 '
s 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
5Camps
amps
o
t
t
t
t
E
s 40.00
s 40.00
$ 20.00
s 36.00
5
RECEIVED B
OJ
/ z,/?*