HomeMy WebLinkAboutPermit Electrical 1997-10-10Date o
SPF.INGFTELD
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion'thereof
Each Manuf'd Hone. or
Hodular. Dvelling
Service or Feeder
ftems Cost Sum
) s 85-00
) S ls.oo
$ 40.00
40.00
s5.00
80.00
ee , r'Br aE66
Authorized Signaturo.
225 FIPTE STPSBT
SPRTNGFIEI,D, OREGON
INSPECTTON REQTIEST:
OFPICE: 726-3759
1. LOCATTON OF
I,EGAL DESCRTPTION
JOB DESCRIPTION
Permi ts are non-transferable and expire
lf uork is not started vithin 180 days
of lssuance or lf rlork is suspended for
180 days.
2. CONTRACf,OR INSTALI,ATION OITLY
Electrical Contractor
Address Po te3ez
Cl ty.
r(b a [l. v.vr Phone 6oa-.585-48??
Supervisor License Number ,9 e.4.9
ExP iration Date
Constr Contr. Number
ExP iration Date
Signa ture of sing Electrician
Olrners Name
Address I -?
City IVlonmnrilh prrone 5Oa-838-oOgto
OSNER INSTALI.ATION
The installation ls being made on
property I ovn which is not intended
for sale, Iease or rent.
Ovners Signature:
.0. Services or Feeders
Installation, Alterations
or Relocation:
c.
200 amps or less
201 anps to 400 amPs
-
/r01 amps to 600 amps _
601 amis to 1.000 amPs-
Over 1000 amps/volts
-
Reconnect OnIY
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps'"or less
201 amps to 400 anPs
-
Over 401 to 600 amPs
Over 600 amps or 1000-vo-ITs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
Each Additional
Circuit or vith Service
or Feeder Per.slit
-
$ 2'00
E, Miscellaneous (Service/feeder not included)
-Each installation- Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI,
s s0.00
s 60.00
$1OO.0O
s130.00
$300.00s 4o.o0
s
$
$
s
00
o0
o0
00
s40
$40
$20
$36
5
DATE:0 - to - q
a_
t:.l
WoR\tLecrRrcar, pBRHrr aPPLrcATroN
\S Job llumbe, ?7//63
FEE SCEEDTIIJ BELOI{
i,,4t!:'.
.Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
.i
3
hr^DfltDh
fi letUltnyiirg pmiectt * *&rni$r,rJ h es t)1 r. ! r-- r
dg{ltfu,, edi4|nrq*ftefi [fii{lrtr, rffiyiirG it} ii'
+rcd1.
SPI{INGFIELO
EI.ECTRICAL PBRHTT APPLICATTON
b llumber 3
225 FTFTE STREET
SPSINGFIELD, oREGON 9747
INSPECTfON REQUEST: l\6$ilt@tzadOFPTCE: 726-3159
1 OP TNSTALT,ATTON
1#y D4s_cRIIrI
-) --/ :> J
3. COHPI^ETE FEE SCBEDULE BELOS
. A. Nev Residential_Single orHulti-Fani1y per avEffing unit.Service fncluded:
ftems Cost
J.000 sq.ft. or.i.ess S g5.OOEach additional 500 ---:'. sq. ft or portion
thereof
Each Hanuf,d Home. or
-
S 15'00
Hodular. DvelIing
Service or peeder $ 4O.OO
.8. Services or FeedersInstalIation, Alterationsor Relocation:
ON
SumOE DES ?ot'r
Electrical Contractor
Permi ts are non-transferable and expirelf vork is not started virnin-ie0 d;t;-of lssuance or lf r.,ork is suspended ior180 days.
2. CONTRACTOR TNSTALI,ATION ONLT
Address P o 200 amps or less
20L anps to 400 amps
-
401 amps ro.600 amis
--601 amfs to'1000 airpsl-Over 1000 amps/voIt
Reconneet Only
e3e
Pho"u 6ot:56t-C8J?
Supervisor License Number .?2 S.z -S
Expiration Date to-t -q 8
Constr Contr, Num
Expiration Date
ber D?,3
4-t9-qq
Signa trrre of S ing Electrician
Ovners Name
Address I -7
s s0.00s 60.00
$100.00
s130.00
$300. o0
$ 40.00
Tenporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 40,00 Lr,201 amps to 400 arnps
-
i s5.OO -l<-
over 401 to 600 amps
-
S go.o0
0ver 600 amps or 1000' \6iTs see.,,Bt affi-
Branch Circui ts ; ..
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each AdditionalCircuit or vith Serviceor Feeder Permit S Z.O0
' Pump or irrigation
Sign/OutIine Lightit g]
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
cl
citv nAo"mnr*h phone So6-g3t-oOgb
OIINER INSTALI.ATION
The installation ls being made on
property I ovn vhich is not intended-[or saler ]ease or rent'
Onners Signature:
DATE
Hiscellaneous (Service/feeder not included)
-Bach installation
D
E
a
5
RF.CETVF.T)
( r()
r(ba Ia tn"
c.
s 40.00s 4o.oos 20.00s 36.00
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