HomeMy WebLinkAboutPermit Electrical 1997-04-03225 FTFTE STREET
SPRINGFIELD, OREGON 97477
iuipecf,roN REQITEST z 726-3769
OFFICE: 726-3159
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ELE TRICAL PERHIT APPLICATION
Ci ty Job Nu-uber q7 crl g
3. COHPI.^ETE FEE SCffiDTILE BELOS
A. New Residential-Singlg.or'Uri,i-f"riIY Per dvelling uni t '
Service Included:
Cos t
$ 85.00
s 1s.00
$ 40.00
I tems
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1.LOCATION OF INSTALI..ATTON
9Y/
LEGAL DESSRI
Residence
PT ON
I
JOB DESCRTPTION
Alarm Ins ta11a 16n
Electrical Contractor Sec itw
Address 1 01 Pea rl qr
Ci ty Phone 342-L 3l i
Supervisor License Numbe r94 g .TT.E
Expiration Da te II/otl99
Cons t r Contr. Number 59944
Expiration Dat e 4/271 qfl
Signa ture of SuPervising EIec trlc].an
0vners Name
address 9? |q Tth
S*rorr'J.nlJ Phone f{t"- 3qql
1000 sq.ft. or less
trach additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular'DveIling
Service or Feeder
Services or Feeders
Installation, Alteratlons
or Relocation:
200 amps or less
201 amps to 400 amPs
-
40L amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amPs/volts
-
Reconneet 0nIY
TemporarY Services or Feeders
inriiiiuiion, Alteration or Relocation
o Sum
5oE
Permits are non-transferable and expire
ii-"otf. is not started vithin 180 days
;; ;;;;";"" o' if vork is susPended for
180 daYs.
2. CONTRACTOR INSTALLATION ONLY
s s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
200 amps'"or less $
zoi "rit to 400 amPs
-
t
Over 401- to 600 amPs $
Over 600 amps or t000-ilts se
40.00
55.00
80.00
e trBil a
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
$ 3s.00
--\- f,
OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
D
Ci ty
$ 2.00
E. MiscellaneouS (Service/feeder not included)
-Each installation
Pump or irrigation S
Sign/0ut1ine Lightirg- SLimited Energy/Res t $Limited Energy/Comm S
40.00
40.00
20.00
36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
.:f,,,19rini.s tra rive Fee
$20. 00
I .00
AA+rl r-n
r?
$2n.00
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