HomeMy WebLinkAboutPermit Electrical 2000-06-22225 FlrtIJ STR rT^^-_ ^ .,iirrnonzerl SignatureSPRTNGFTELD, oREGoN 974)1"""'"" "'.
TNSPECTTON REQTTEST: 726_37690FPfCE: 726-3759
PTTON
zoning, and
approval.
Zoni
Date
o0
ON ONLY
does not require specific land use
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PERHTT APPTICATTON
City Job Number 0O Oq'
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tI 1000$ 57.?A
1. LocA 3. COHPTETE FEE SCEEDT'I,E BELOY
A. Nev Residential-Sing1e orMulti-Family per dvetling unit.Service fncluded:
t f tems
1-000 sq. f t. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Fgeder
Services or Feeders
Installation, Alterations
or Relocation:
Cos t
$ 8s.00
s 1s.00
$ 40.00
Sum
DE
Permits are non-transferable and expireif vork is not started vithin 1B0 daysof issuance or if vork is suspended for
180 days.
2.
Elec t ca1 Contract
Address
Ci ty Phone
Supervi sor cense Number
Expi ra t i Dat
200 amps or less i
201" amps to 400 amps
40i. amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0n1y
$ s0.00
$ 60.00
$ r_00. 00
$130.00
$300.00
$ 40.00
d.60
,.Dba-"
Cons t r tr. Nt:r
Expir:ation Date
Signature of Supervising Electrici s{rIU\iHad S\HI
xuol\A AHIJI
D
Owners Name
Address
Ci ty Ph one
OVNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
s Signat
C. Tempora es or Feeders
teration or Relocation
:*tftn or
mp
10
Nev, Alteration or Extension Per Panel
$ 40.
$ ss.
$ Bo.
see tt
$ 3s.oo
$ 2.00
6ovea
00
00
00
Brl
E. Miscel-laneous (Service/feeder not included)
-Each installation
Pump or irrigation _-Sign/Outline Lightirg._-
Limited Energy/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
$ 20.00
s 36.00
e5€-
5 SUBTOTAL OE ABOVE
J% State Surcharge'ii xa*i"istrat'ive Eee
toTA].\t'\I'r
SF
I
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit (
c3ll