HomeMy WebLinkAboutPermit Electrical 1999-02-17C'TY OF OFEGO'V
225 FIFTH STREET
SPRINGFIET^D, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
zontng, and
approval.
does
Date
ffryrl,zed Signature
726-3769
not
the followlng
land use
The following project as subrnitted has
SPIr -iFIELO
CAL PBRUTT APPLICATION
City Job Number ?9a 2=
3. COHPLETE FEE SCEEDIILE BELOII
A
specific
C
E
1. LOCATION OF INSTALLATTONa4)a ri rL Pleu-Nev Residential-Single orMulti-Family per dvelling unit.
Service fncluded:e/ar Items Cost Sum
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home. or
-
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
B. Services or Feeders
200 amps or less
201 amps to 400 amps
-
40L amps to 600 amps
-
601 amps to 1000 amps-
Over L000 amps/volts
-
Reconnect 0n1y
Temporary Services or FeedersInstalIation, Alteration or Relocation
D. Branch Circuits
Sr
JOB DESCRIPTION
o
I
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuanie or if vork is suspended for
180 days.
2. COMRACTOR INSTALI.^ATTON ONLY
Erec t r i ca 1 con t r ac rc r ( s {. t tLT?ft. fr,qe(0,.$"i;"sl"i31l3i t l:; .
A1 t e ra t i ons
Address
Ci ty.t-,Phone 6PD-/6ly
$ s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
Supervi-sor License Number 3
Expiration Dare lO - t
Constr Contr. Number 2
Expiration Date o-oo
Signature of Supervising Electrician
Ovners Name
Address )?.-t q lrk P/n*-
ciry 3??'r4(te-o{)Phone ?q e -:-f
OVNER INSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, Iease or rent.
0vners Signature:
DATE:
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see rrgrr
"ffift-
Nev, Alteration or Extension per panel
one circuit { S 3s.oo V€Each Additional
Circuit or vith Serviceor Feeder Permit , $ 2.00 __<
Miscellaneous (Service/feeder not included)
-Each ins tall-a t ion
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
*
$ 40.00
s 40.00
$ 20.00
s 36.00
RECEIVED BY:
5
t