HomeMy WebLinkAboutPermit Electrical 1994-08-08225 FIT'TE STREET
SPRTNGFTELD, oREGoN
TNSPECATON REQUEST:
OFFICE: 726-3759
7
1..".OF
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
t
Electrical Contrac
Address
SPRINGFIELD
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
Modular DvelIing
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or fess
Over 1000 amps/volts
Reconnect 0nlY
SUBTOTAL OF ABOVE
5% State Surcharge
32 Administrative Fee
TOTAL
Thc.foliowlng project aE submitted hes the
lolinq, and doe$ not require opecilic landapprov€1.use
ELECTRICAL PERHIT APPLICATION
97 477
2681alA92t6l+City Job Nunber
AuttroriredSig,rsrrli€*fnR COHPLETE FEE SCBEDTILE BELOS
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Ineluded:
I tems Cos t Sum
ONi-
$ 8s.00
$ 1s.00
$ 40.00
$ s0.00
s 60.00
$100.00
$130. 00
s300.00
$ 40.00
Ci ty
Supe
Phone nc\
B
c
20L amps to 400 amps
401 amps to 600 amPs
601 amps to L000 amps
rvt sor cense Number
Exp iration Date \
Constr Contr. Number
Expiration Date
Signa ture of sing trician
0vners N
Address
Ci ty Phone
OVNER ON
The instaltation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orrners Signature:
DATE:
----B-
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or ]ess $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1b00 voTts see uB" aE6iE
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $
Each Additional
Circuit or vith Servi5
or Feeder Permi t 'L $
Miscel]aneous (Service/feeder
-Each installation
Pump or irrigation $
sign/outline Lighting- $
Liilited Energy/Res $
Limited Energy/Comm
-
$
D
E
5
35. O0
It CSL2.00 *\.
t
not included)
40.00
40.00
20.00
Li
RECEIVED B
?L)*
g
-