HomeMy WebLinkAboutPermit Electrical 2000-08-29rctrY oF SPRINGFIELA OREGGfiI
approval
Date
Zoning LDIL
' Lq-6D
SPFIh ;FIELD
BLECTRICAL PERT{IT APPLICATION
City Job Nunbe rD6 _ ot9tg.-o/225 Frytr STREET Authorizeo Sigrrature
SPRTNGFTELD, OREGON 97 477
INSPECTION REQIESTz 726-3769
OFFICE: 726-3759
3
A1
COHPI.,ETE FEE SCEEDULE BELOIT
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
IJGAL .l7o3DESC&tFTION3 >z\o ?5-oo Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
oi i""u"nce or if vork is suspended for
180 days.
2. COMRACTOR INSTALT.ATION ONIY
Address
Ci ty
Ci ty
Erectrical contrac tor E f E(r'(/ltc t C"''nr'"lt,'fuor Relocation:
B. Services or Feeders
Installatlon, Alterations
200 amps or less
20L amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnIY
C.
D
E
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
2
00
00
00
ee 'tBrt aSove
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
ttTrn,
-
Pnone bftf,-/G/y'
Supervisor License Number 3 /?zs
Expiration Date,o
Constr Contr. Number o
Expiration Date oa
Signature of Supervising Electrician
Ovners Name
Address q Yl tU
Phon€) )6- 73/E
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps''or less
ior "*p" to 400 amps
-0ver 401 to 600 amPs
Over 600 amps or fOOO-volTs
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ 35'oo 75
Each Additional
Circuit or vith Service
or Feeder Permit s 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
--Sign/Out1ine Lighting--
Limited EnergY/Res
-
Limited EnergY/Comm
40.
55.
80.
$
s
$
s
OIINER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
0sners Signature:
B#-
m trl.L4-D.,EOtIJH
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L.JOLNr"3
5
$ 40.
s 40.
$ 20.
s 36.
DATE:
RECEI
RECEIVED
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