HomeMy WebLinkAboutPermit Electrical 1997-04-11OFEGO'U.OF
SPRINGFIELC,
%
225 FITTB STREET
SPRINGFIELD, oREGoN 97 477
INSPECTTON REQUEST:
0FFICE: 726-3759
726-Yry$)=J1
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ELECTRTCAL PERHIT
Ci ty Job Nu.mber
3. COHPItrru FEE SCMDULE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-
Modular Dvelling I
Service or Feeder I
B. Services or Feeders
Installation, Alterationsor Relocation:
s 8s.00
s 1s.00
s 40.00
1 ON
LEGAL PTTON
Permi ts are t rans fe ra and expire
if vork is no started vit in 180 daysof issuance or if vork is suspen-ded for
180 days.
2... CONTRACTOR
Electrical Con
Add ress
Ci ty Phone
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/vo1ts
-
Reconnect Only
200 amps or less
20L amps to 400 amps
Over 401- to 600 amps
-0ver 600 amps or 1000-voft
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
TTON OI{LY
t--
qts
A
Sum
r*.
tract
nse um
$ s0.00
s 60.00
$ 100. 00
$130. 00
s300.00
s 40.00
Supervi sor
Expiration Date
Expiration Date
Addre
Ci ty
\D.\{tr 8
C Temporary Services or Feeders
Installation, Alteration or RelocationConstr Contr. Number
\$
$
$ss
40.00
5s.00 ;
80.00
ee (B( aEEE
not included)
40. 00
40.00
20.00
36.00
Signature Supervising EIec trician
Ovners Name
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t
s 3s.00
s 2.00
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/Outline Lighting- S
Limi ted Energy/Res
-
$
Limi ted Energy/Comm S
,n"""'lZbzlll
ALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
t
0vners Signature:
DATE:
5
RECIiIVED B