HomeMy WebLinkAboutPermit Electrical 1995-02-22SPE'i.GFTELC'
225 FI,FT.E STREET
SPRIITGFTELD, 0REGON 97477
INSPECTfON REQUEST: 726-3OFFICE: 726-3759
1.OF 5
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APPLTCATTON
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Permits are non-trans erable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALTATTON ONLY
Electrical Contractor
eaaress /1
Ci ty 6uqN t lul ^Phone
Supervi "J ,r""nse Number .3b I'tt>
Expiration Date toltlqr
Constr Contr. Number b bgq
Bxpiration Date s/zz /{
Supervising Electri cian
0vner e k)k
City Job Nunber
FEE SCEEDTITE BELOII
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterationsor Relocation:
200 amps or fess I
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
C
Sum
00
00
00
ee rrBrr aSove
40.00
40.00
20.00
35.00
s s0.00
$ 60.00
$ 100. 00
$130.00
s300.00
$ 40.00
40.
55.
80.
$
$
$
s
$
$
$
$
0oSO
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 voTTs
213 SAddress
cit Phone 1,i)-0q
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 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/0ut1ine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
OVNER ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
0vners Signature:
5
DATE:
CITY OF
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RECEIVED BY:
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