HomeMy WebLinkAboutPermit Electrical 2000-09-13CITY OF SPRINGFIELD, OREGO'U
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SP SFIELO
ELECTRICAL PERHIT APPLICATION
City Job Nunbe, ' '1 ' /,-o /aq-o
COUPI,RTE FEE SCEEDUI,E BBLOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost Sum
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225 TIFTB STREBT
1. IOCATION OP INSTALLATIONrt .;7rtz/
Zoning
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IJGAT DESCRIPTION' 1)r,Y' /eX
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JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRACToR INSTAIJ,A:TION ONLY
Electrical Contractor
Address 7
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome- or
Modular Dvelling
Sertice or Feeder
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ogn'
Z g 1s.oo 3''oo
see rrBrr aE6E
Ci ty Phone
Supervisor License Number 2t
Expiration Date o
Expiration Date
Signature of Su
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Electrician
Constr Contr. Number 2/,-/7Zc
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs _
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/voIts
-
Reconnect OnlY
Temporary Services or Feeders
Installation, Alteration or Relocation
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s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
200 amps'"or less
201 amps to 400 amps
-
Over 401 to 600 anps
over 600 amps or fbOO vo-ITs
$ 40.00
$ ss.00
$ 80.00
Ovners Name R h-z S['/-+'c-
Address Z3A3 Ca^+=-,^,
Ci ty s (f>phone 3?f-273K
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighti.g-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
I
$
$
$
s
0g
0q
40
40
20
36
aP5
DATE:
RECBTVED
O 300
SPRINGFIEI.D,
INSPECf,ION REQTIEST
OFPICE: 726-3759 Authorized
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