HomeMy WebLinkAboutPermit Electrical 1997-08-01zoning, and
approval.
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SPFT'NGF'EL(,
ELECTRICAL PERHIT APPLICATION
Zoni
225 FrYtE. STRXET i ;,. ,. -,
SPRINGFIELD, OREGON 97 477
INSPECTION REQIESTt 726-3769
OFFICEz 726-3759
1 LOCATION OF INSTALLATION./Dql s ?qru;+-
LEGAL DESCRTPTIONlkot os raO eacft-t
JOB DESCRTPTION9nL tira,ti f
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
Ci ty Job Number
3. COHPLETE FEE SCEEDITLE BELOV
New 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 Manuf'd Home. or
-Modular 'Dve11ing
Service or Feeder
s 8s.00
s ls.00
s 40.00
B.Services or Feeders
Ins tallation, Alterations
or Relocation:
q7t7{
A
Sum
2.
EL
Ad
Ci
CONTRACTOR
ectrical Contracto
dress
Supervi sor L 1 Cens
Expiration Date
e Number 3lj5s
\D.\ qB
Y
&n
Constr Contr nrruur 11Dh5
Expiration Date [0,\0 q-1
Signature of Supervising Electricianc)- "
Ovners Name
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit -1- $ ss. oo 15-Bach Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to i.000 amps
Over 1000 amps/vo1ts
-Reconnect 0n1y
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 40L to 600 amps
-
S 80.00
Over 600 amps or 1000 voTts see rrBrr a6ott
-Each installation
Pump or irrigation
Sign/0u tline Lighting-
Limited Energy/Res
-Limited Energy/Comm
Phone
s 50.00
$ 60.00
$100.00
s130. 00
s300.00
$ 40.00
Address
cit Phone
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
5"w 717 qi 5/
s 40.00
s 40.00
s 20.00
s 36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECETVED
OREGONctTyOF
55.n)
-
,1^/-