HomeMy WebLinkAboutPermit Electrical 2000-09-01CITY OF OREGON'
225 FTfrE SIREET
approval
Zoning
SPRINGFIEII), OREGON &74
IHIEff ")r::!ffi" of?S'zt,J5,t.'""'"
The followin$ project as submitted has the tollowing
zoning. and does not require specilic land use
/.N"-
- O--o
EI,ECIRICAL PERHIT APPIJCATION
3. , COHPI,ETE FEE SCEEDI'IJ BEIOg
t
A. -Nev Residential-Single or
Hulti-Pamily per duelling unit.
Service Included:Items Cost
1. LOCATION
o z&oo
JOB DESCRIPTION
Permits are non-trartiferabl} and expire
if vork is not started vithin 180 days
oi issuance or if vork is susperrded for
180 days.
2. CONTRACTOR INSTAIJ,ATTON ONLY
Electrical contracto@
Address Do A..,*
Ci ty etls ll"? I
uperviso License Number /S9O-5
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-_Hodular 'D;elling
Service or Peeder
-8. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 "rps
-401- amps to 600 anps _601 arnps to 1000 amps
over 1000 amps/volts
-Reconnect Only
r
s 85.00
s 15.00
. s 40.00
see xBtr
Sum
sof
=
s 50.00
s 60.0c
s100.00
s130. c0
s300.00
s 40.00
Exp iration Date
Constr Contr. Number =f,.O.{ G I
Expiration Date
Signature of pervising Electrician
Tenporary Services or Feeders
Installation, Alteration or Relocation
c
200 amps"or less
201 anps to 400 amps
-0ver 401 to 600 amps
Over 600 amps or 1000Tofis
s 40.00
s ss.00
s 80.00
aEoE
0lrners Nane
Address
ci Phone-).!! -S(l')
OIINER INSTALI,A:IION
The installation is being nade on
property I ovn vhiih is not intended
for sa1e, lease or rent.
Ovners Signature:
aIE:o7O/oo
T(J,UEIr T
D. Branch Circuits
llev, Alteration or Extension Per PaneL
One Circuit
Each Additional
Circuit or vith Serviceor Feeder Permit sS
s 3s.00
s 2.00
&o
f
E. Hiscellaneous (Service/feeder not includetl)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Linited Energy/Res
Linited Energy/Comm
s 40.00
s 40.00
s 20.00
s 35.00
Hrf
rll-t -ND
(:)6fF.m
(:)F
I
SUBTOTAL OF ABOVE
7X state Surcharge
3Z Administrative Pee
TOTAL
Crf,rn-11r.J
€q c13HOtn c}
xH#(} C).''o
RBCETVED B
OE 7
5
I
city Job tl-u".9o -c) 1 33/ *O /