HomeMy WebLinkAboutPermit Electrical 1998-12-14C'TY OF OPEGO'U
SPRINGFIELO
Tl ..lollowing project as submitt€d hff the tottoudng
225 FIFIE STREET
z 'rrg, ancLdoes not roqulrc specmc hrdt '.oval.ELBCTRICAL PERHIT APPLICATI
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INSPECTION z 726-31U9i \&/City Job Nunber
sPRrNcPrELD, oREGoN 97477
OFPICE: 7 ; l,--tq 3. COHPLETE FEE SCEEDUIA BBLOII
cirMynon@llkfl-zicf
supervisor Licen:e Number 3274 ,/k
1 0q
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JOB DESCRIPTTON
2. CONTRACTOR INSTALI,ATION ONLY
Electrical Contracto
Address
Expiration Date o
Constr Contr. Number
Expiration rDate
Signature of Supervisi ng Blectrician
0vners flame
Add ress
Ci ty Phone 1 2b -
OVNER TION
DATE:
h
A. Nev Resldential-Sing1e orHulti-Family per.dvelling uni t.Service fncluded:
One Circuit S 35.00Each Addi tionalCircuit or vlth Serviceor Feeder Permit g 2.00
1000 sq.ft. or less
Items Cost Sum
s 8s.00
Each addi tsq. ft
thereof
Each H
HoduI
Service
B. Services
fns taIIa
or Reloc
c
200 amps or less $ 50.00
201 amps to 400 amps
-_
S 60.00
401 amps to 600 amps
-
S1oo.0o601 amps to 1000 amps- S13o.0oover 1000 amps/volts
-
$3oo.o0Reconnec-t.-Qnly g 40. 00
I- ! ,r!'r- ! {\ $; ' '':' 1-' | !t'$* '
tempo s,iry ;,: gpgv i34q L6XFiBEd E trtl E W0 nK
rns tdI'Ia t Ign r , Alfifree,{1q3 rggffiq-n6dQI on
j1:,: i:-l \'': l.i 1..1
200 amps or less iri ili ii!:l,L'l",rLiCl'lB FABTOO
201 amps to 199,aflps
-
S 55.00over 401 to 600'amps
-
S Bo.oo
Over 600 amps or 1000E-Its see rrgrr .[f,["-
Branch Circuits
Nev, Alteration or Extension per panel
D
BEoUEST
26-3759r;ywff
Permrts are non-transferable and expireif vork is not started vithin 180 diysof lssuance or lf vork is suspended ior180 days.
L
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
HiscelLaneous ( Service/feeder
-Each installatidn.
Pump or irrigation SSign/Ourline Lighting- SLimi ted Energy/Res ---T.
SLimi ted Energy/Comm _--#-
$
E not included)
40.00
40. 0020.oo Ti;
36.00
STIBTOTAL OP ABOVE5f State Surcharge
TOTALRECETYED
5 ^-.o--=T;b-
Fr-tft-
S)L/
you to
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center.
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