HomeMy WebLinkAboutPermit Electrical 2000-07-14CITV OF
S''INGFIELD
TRANS$;0L-00CI5?0
[ftTt:JUL i4 1000
f;t{T REID:I $ 4X.90
nun hter 'tJl lnllUL.
i:i lal I -ir--: . r-.r-:-.
ELECTRICAL PERHIT APPLICATI0N;::i|1 ii i, : i ii_i.l
City Job Nuruber rDo-o1 O?q -o/
1 LOCATION OF ION
JOB PTION
Electrical Contractor b*
Address
Ci ty vnone egiZT"7O
Supervi.sor Lice
Expiration Date
nse Number 7?D5
(o
Constr Contr. nunbet a-7f6,-7 C
Exp iration Date (a
Signat ing Electrician
0vne
Address
CitY- Phon
OVNER INSTALLATION
"23L1525
3. COHPLETE FEE SCBEDIII,E BELOV
A. Nev Residential-Single or
MuIti-FamiIY Per dvelling unit'
225 FITTE STREET
SPRINGFIELD, OREGON 91 417
ilrspgcf,roN REQUEST z 726-3769
OFFICE: 726-3759
The installation is being made on
piop"t,V I ovn vhiih is not intended
for-sale, lease or rent'
Onners Signature:
Service Included:
I tems
1-000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home' or
Hodular Dvelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or Iess
201 amps to 400 amps
--40L amPs to 600 amPs
--601 amps to 1000 amPS-
Over 1"000 amPs/vo1ts
-
Reconnect OnlY
5. SUBTOTAL OF ABOVE
TemporarY Services or Feeders -i.=l.ii"ir"t, Alteration or Rerocation
200 amps"or less
;oi ;;; io aoo amPs -lOver 401 to 600 amPS
-
0ver 600 amPs or 1000 volts
$
$
$
s
Cos t
$ 8s.00
$ 15.00
$ 40.00
00
Sum
Permits are non-transferable and expire
ii "ott is not started vithin 180 days
;; i;;;";"" o' ir vork ,' A>Yi1ld
ror
180 daYs.
2. CONTRACTOR INSTAIT.ATION ONLY B
t
$ s0.00
s 60.00
$100.00
s130.00
$300.00
$ 40.00
C
40.00
55
80.00
ee ttBt' a66G-
D Branch Circuits
' ^* rvranc'i on Per Pang1Nev, Alteration or Extens-ion Per
oneicircuit a g3s.oo 7f
gach\ Additional
:i:;:::":"llll,'"*> g 2.oo r
uisiellaneous (Service/feeder not included)
E
-Each installation
Pumo or irrigation
-
SignZOutIine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
7
3
Z State Surcharge
Z Administrative FeeDATE:
RECEIVED B
oa
TOTAL