HomeMy WebLinkAboutPermit Electrical 2020-04-22SPRTNGFIELI)
225 FITTE STREET
SPRINGFTELD, OREGON
INSPECTION REQTIEST:
0FPICE: 726-3759
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a7i!6ur&Z6ggnature
I
L000 sq.ft. or
Each addi tional
sq. ft or port
200 amps o
201 amps t
401 amps t
601 amps t
Over 1000
Reconnec t
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,and use "ffi
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CAL PERHTT APPLICATTON
city Job Number ?iosqy
COHPLETE FEE SCBEDULE BELOIJ
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
Items Cost
ifli a
].. LOCATTON O
,J
A
JOB DESCRI
Permits are non-transferable
if vork is not started vithin
of issuance or if vork is s
180
,
EIec
Address P.O. BOX 23154
Ci ty
EUUENE, ()r
Phon
I Supervi*<or License Number #?3-5
Expiration Da re /O'll-Ol
Constr Contr. Number lutrt
Expiration Date e,lb-oo
Signature of Supervi Electrician
c Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or }ess S 40.00
over 4b1 to 6oo amps
-
$ Bo.oo
0ver 600 amps or tbOO voTTs see rrgrr
"[ffi-
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permil 2 $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/OutIine Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
a)
n 9t49:de
"LlLl_L{?Zt,
r less Io 400 amps __o 600 amps _o 1000 amps_
amps/volts _0nIy
$ 8s.00
$ 1s.00
s 40.00
:a1op)
less
500
ion
me. or
ng
er
ers
terat ions
Sum
_@:$ s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
D
0vners Name L(
Address 2l t t Wt-/ rt
Ci ty Phone 6?4'' 24 f
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
Ovners Signature:
DATE:
(
s 40.00
$ 40.00
$ 20.00
$ 36.00
5 r+
RBCEIVED
f -ST"-iT