HomeMy WebLinkAboutPermit Electrical 1999-02-09C'TY OF SPR OREGON
The following project as submitted has the following
zoning, and does not require specific land use
5P. .fFIELC,
ess
PERHIT APPLICATION
approval
Date
ej-Zoning
225 TIFTE STREET
SPRTNGFIELD, OREGON 97
INSPECTION REQUEST: 7
OFFICE: 726-3759
1 'gi^'B- ij *I,*'rtilTl*
3
A
ty Job Nunber
COUPLETE FEE SCMDULE BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service lncluded:ftems Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
bllgrss Signature
Sum
(.
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. COMRACTOR INSTALI..ATION ONLI
Electrical Contractor
Address $tr)-
Ci ty Phone 1Ll H)ib
Supervisor License Number b S
-u4c
B
C
I
I
200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1
00 amps
000 amps_
s s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
o
Expiration Date,-ni
constr contr. Number lcrqL
Expiration Date l ll'C rrl q
Si ture of Supervising Electrician
0ver 1000 amps/volts
-Reconnect 0n1y
D. Branch Circuits
E
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
2oL amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1()OO voTts see rrBrr aE E-
I L>-o t
1-r4.-
ers Name l-r@
Address tlu lace
Ci ty Phone 7'17-7bb 7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0nners Signature:
Nev, Alteration or Extension Per Panel
onecircuit * $35.00
Each Additional
Circuit or vith Service.
or Feeder p"r*it"--
-I $ 2.oo 2..qO
Miscellaneous (Service/feeder not included)
s 40.00
s 40.00
$ 20.00
$ 36.00
5f crl
RECEIVED B
5
I,EGAL DESCRIPTION
^ 1o ?t? .> )7 42% // .
DATE:
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