HomeMy WebLinkAboutPermit Electrical 1997-05-28aCTTY OF SPR
SPFTT}'lGFIIELf,
e
. ' . nll r' ^iect as submmed has the tollowing,. .]e$ not rcquire specilic land uss
L,:
225 FIFTE STREET
SPRTNGFIELD, OREGON 97
ON REQUEST: 726-3769
726-37s9
ETECTRTCAL PERHIT APPLICATION
City Job Nunber
3. COHPLETE FEE SCEEDTILE BELOII
A
L000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home. or
-
Modular Dvelling
Sertice or Feeder
s 8s.00
$ 1s.00
$ 40.00
INSPECrI
OFFICE:
1. TOCATION
5 OF INSTALT^ATION
4zuP Nev Residential-Sing1e orMulti-Family per dvelling unit.Servi.ce Included:
ftems Cost Sum
LEGAL DESCRTPTTON
JOB DESCRIPTION
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
eaar"""C/o 5 1s
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended ior180 days.
2. COII"IRACTOR INSTALI.ATTON ONLY
Electrical Contractor
Addr
ci ty She ruCF rtr-)r phone 12j-zL
Supervisor License Number
Expiration Date t O
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less I201 amps to 400 amps
-401 amps to 600 amps .-
601 amps to 1000 "rp"-Over 1000 amps/vo1
I{econnec t on1y
Jempo5Sry Services or Feedersrnstallation, aiteraiion--JI'i"focation
200 amns' 'or 'l oo,oi ;;; ;; iffi'"-^^ * s 4o.oo
ffffJsi jtofl[Tito--*" i ;Ifl ,*_-
Branch Circuits
One Circui tEach Addi tional
-
urrcuit or vith Serviceor Feeder p".ri t
"-. " ,A_
Miscel_Laneous (
;.1_."h ins taria' soervi celfeed
IYTp.:. irrigation
,.lgllt tline Ligh rins_illl l"g trnergy/Res
-
Lrmlted Energy/Comm
-
B
s s0.00
s 60.00
$100.00
s130.00
s300.00
$ 40.00
5e"
C
D
n4 SA Nev, Al"teration or Fvr^-_J _or Extension per panelCi ty
OTINER
DATE: 5'-
Phone
$ 35.00
TTON
The instalLatio;property r ovn ,1.-]:, being made onio,',uil,'i;;;",:i":"i;. nor inrended
0mers Signature:
E
$ 2.00 56,:
er not included)
s 40.00
$ 40.00
s 20.00
$ 36.00
RECEIVED
5 SUBTOTAL OF ABOVE
;f :1"i". surcharge
;6,;tnr"r.srrative Fee -4-*--
-6rg---|ir-*e-
1