HomeMy WebLinkAboutPermit Electrical 2001-03-30CITY OF SPR"VGFIELD, OFEGOA'
SPR :IELO
DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET
SPRINGFIELD, OB 97477
(541) 726-3753
FAX (541) 726-3689
The lollowing proiect as submitted has the lollor/ing
;;;;;;;;"i"ei not require specilic land use
approval l-,{1-
225 PTETE SIREET
SPRTNGFTELD, oREGON
INSPEMION REQTIEST:
OFBICE: 726-3759
Zoning o^o
ignature
1. I,OCATTON OF INSTALI.A:TION
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IAGAL DESCRTPTION6 t1 07
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JOB DESCRTPTION
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Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CO}II?ACTOR INSTALI,A:TION ONLY
Electrical Contractor N
Address J 3?)6 d rll LTrN"'
Ci uJe(l Phone A7)-- Zqq o
Supervisor License Number 3L,lL{5
Expiration Date to-t-al
constr contr. Numbel 66s ?1
Expiration Date a - t-o(
Signa of sing Electrician
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Ci ty P'hone 1*t" - ?,SVZ----------------
O9NER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent-
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: :iii;gsgners signature :
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EIACTRICAL PERI{TT APPLICATION
ty Job Nunber hl - ffi AK1-o r
3. COI{PI,ETB EEE SCEEDIII,B BEIOS
A. Nev Residential-Single or
Multi-Fanily per dvelling unit.
Service Included:
I tems Cos t
s 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Eome or
Hodular DweIIing
Service or Feeder
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 4OO amps
-40L amps to 600 amps =
601 anps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
c
Sum
s s0.00
s 60.00
$100. 00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 anps to 400 amps
-
S 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
0ver 600 amps or fbOOGfts see nBu a56Tf
Ovners
Address
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
3lEntililllo,,". t s3s'oo ff:
Circuit or vith Service
or Feeder Permit { $ 2.00 d. -
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited Energy/Res _Limited Energy/Comm
ST,BTOTAL OF ABOVE
7% state Surcharge
3Z Adninistrative Fee
TOTAL
$ 40.00
s 40.00
$ 20.00
$ 36.00
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RBCEIVED BY:
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