HomeMy WebLinkAboutPermit Electrical 1999-11-10CITY OF SPR"VGFIELD, OREGO'V
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1
225 FTTTH STREET
SPRINGFIEI,D, OREGON 97 477
INSPEcf,IoN REQTEST| 726-3769
OFFICE: 726-3759
EI,E TRICAL PERHIT APPLICATION
Ci ty Job Number 77 tr>t
3. COHPI,ETE FEE SCEEDTILE BELOS
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:Items Cost
C.
LOCATION OF
i )Tu
INSTALI.-ffIION
At \/ t'
L t
JOB DESCRIPTION
0 6zt0 r 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. COI{TRACTOR INSTALI..ATION ONLI B
Ele c t r i ca 1 con t rac . o, (;l'O elcLl {, C,\y',,*-
t-, .-.
Address l;)Vttx i
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ r.s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less /
201 amps to 400 amps
-
401 arnps to 600 amPs
-
601 amps to 1000 amps-
0ver L000 amps/vo1ts
-
Reconnect 0nIY
5u
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000-6TIs
Branch Circuits
Nev, Alteration or Extension Per Panel
t4/iL $ s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
Ci ty Ynonel4[-TUJI
Supervisor License Number
Expiration Date \0va
Constr Contr. Number i.0\w
Expiration Date
s ture of Supervising Electrician
s Name
Address 3t
Ci Phone ?+7'trf 8
OVNER INSTAILATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
One Circuit
Eaeh Additional
Circuit or vith Service
or Feeder Permi t I
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Light ing-
Limited EnergY/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
'-52 state Surcharge
'32 Ad*inistrative Eee
TOTAL
40
20
36
$
$
$
se
$
$
$
s
40
55.
BO
00
00
00
e rrBrr aSove
D
zc{$ 3s.00
$ 2.00
00
00
00
00
40
Z
55
RECETVED
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