HomeMy WebLinkAboutPermit Electrical 2001-03-02The lollowing project as submitted has the tollowing SPFII'\lGFTELO
Zoning
Date 3.ox-ot
Authorized Signature d
U
ltt
flHT ftEID:T $ 60.48
1 $ l-.Li
CHftI.IEE:-
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225 FTrrfl STREEf,
SPRINGFTELD, oREGoN 97 477
INSPBCTT0N REQ(ESTz 726-3769
OPPICE: 726-3759
1
IJGAL DESCRIFTION
JOB DESCRTPTTON0',*,t- o//n.tEl-Permits are non-transferable and explreif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days
2. CO!|TRACTOR INSTALIA:TTON ONLY
Electrical Contractor
BI,ECIRICAL PEru{TT APPLICATION
City Job Nunber olE/ al
3. COUPLSTE PEE SCEEDIIIJ BELOV
A. Nev Residential-Si.ng1e or
HuIti-Fami
Service In
Iy per dvelling unit.
cluded:
Add
cit
,+g
,non"W
Supervisor License Number nq9
Expiration oare l0- OlaOl
Constr Contr. Number ,U-(-,
Expiration Date D
Items
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each'Manuf'd Home. or
-Modular 'Dvelllng
Sertice or Feeder
.8. Services or PeedersInstallation, Alterationsor Relocation:
200 amps or less t
201 amps to 400 amps
-401 amps to. 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconnect Only
One Circuit
Each Additional
Circuit or vith Serviceor Feeder Permi I <-
C. Temporary Servlces or FeedersInstallation, Alteration or Relocation
D.granch Circuits
Nev, Alteration or Extension Per Panel
200 amps"or less S 40.00
201 anps to 400 anps
-
$ 55.00.- *--0v.er-.401..-to..600 amps $ 80.00
Over 600 amps or 1000f6T-ts see trBtr a56iE
Cos t
s 8s.00
s 1s.00
s 40.00
s s0.00
s 60.00
$100.00
$13.0.00
$300.00
s.40.00
s 3s.00
$ 2.oo /97(o-
Sum
{
Signature of
0vners Name
Address
ci ty-Phone
OVNER INSTALI.ATION
an.- -.."
The installation is being made on
property I 'ovn vhich is not intendedfor sale, Iease or rent.
Omers Signature:
DNmZ(y -O }
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limlted Energy/Res
Limited Energy/Comm
s 40.00
$ 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
%Z state Surcharge
32 Administrative Fee
TOTALRECETVED
5
1?
RECEIPI N:
2-%
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