HomeMy WebLinkAboutPermit Electrical 1999-02-19.NGFIELO
PERHTT APPLICATT ON
City Job Number
3. COHPLETE FEE SCEEDTILE BELOV
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1. LOCATION INSTALLATION+
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Permits are non-transferable and expireif work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
S€-(u a€-
Address
Ci ty Phone
Supervi-sor Li cense Number
Exp iration Date '
Constr Contr. Number
Expiration Date
s reofS rvl ng trician
Tt-_eloltowingpro jectassubmittedhasthef
ollowinol9l,rS. and does not requrre specific land useapproval.
225 FIFTB STREET
SPRINGFTELD, oREGoN gffiq
TNSPECTTON REQIIEST:oFFICE: 726-3759
Zoning
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74,{rofrI6flsisnature t5
N,
follow l.tr,&$
952-001 -00100090.
callir
Each Manuf'd
c-
rules are
OAB 952-00,
eor
lbDqo utti t '
s
Cos t
85.00
Sum
$ 1s.00
$ 40.00
B
Modular 'Dvelling
Service or Feeder
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps __401 amps to 600 amps _601 amps to 1000 amps-
0ver 1000 amps/voIts
Reconnect Only
-., dD.1U'
--
s s0.00
s 60.00
s100.00
s130.00
$300.00s 40.00
t
C
D. Branch Circuits
Nev, Alteration or Exterrsion Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
Limi ted EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 4b1 to 6oo amps
-
$ Bo.oo
0ver 600 amps or tbOO voTts see rrgrr .ffi[fl
0vners Name
Address +k
Ynone ftl-98?2-Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
0sners Signature:
s 40.00
s 40.00
s 20.00
s 36.00
5
RECEIVED
.50 d)
*q)
)4 7<11
in OAR