HomeMy WebLinkAboutPermit Electrical 1996-05-10li:l:J:*l%3:ffi
SP|IINGFIELD
ELBCTRTCAL PBRI{IT APPLICATIONaPPr(,vul'225 FTYTE SIts.EET
SPRINGFIEI,D, OREGON 97477
INSPECTTON REQITESTz 726-3769
oFFICE: 726-3759
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1 OF
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J DESCRT
Permlts are non-trans ferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI"A:TTON ONLY
Electrical Contractor
Address S
Ci ty Bra-w-t*ra Phone -o,f
Supervisor License Number s7^ Jb
Exp iration Date / Dr/?"
Constr Contr. Number 4qq 2l
Expiration Date /:/rq
Signature o Supervising trician
0vners
Address
Ci ty pnon" ? ?Q */ bOh
OVNER INSTA.LI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Owners Signature:
DATE:
Ci ty Job Nu.nber
BELOg
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or less
Each aCditional 500
sq. ft or portion
thereof
Each Hanuf 'd llome or
Modular Dvelling
Service or Feeder
s 15.00
s 40.00
Services or Feeders
Installation, Alteratlons
or Relocation:
200 amps or l"ess
20L amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/voIts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
A
Sum
u
B
c
D. Branch Circuits
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
0'rer 600 arnps or- 1000-voI-ts
00
00
00
00
00
00
Sso
s60
s 100
s
s
$
s
s130.
s300.s 40.
40
55
BO
00
00
00
ee ilBu a6ovE-
o
New, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each ins tall-at ion
Pump or irrigation
Sign/outline Light ing-
Limi ted Energy/Res y
Limited Energy/Comm
-SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
5
s 40.00
s 40.00
$ 20.00
s 36.00
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C'TY OF SPF OFEGO'V
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