HomeMy WebLinkAboutPermit Electrical 1996-03-07a a I
SPFrINGFIELO
225 FITTE STREET
The tollow'ing prctecl as eubmiilscl hae the i
zonlng, and does not require sp'ocific land t
7
Data
EA
ELECTRICAT PERHIT APPLICATION
Job Number
Cos t
s 8s.00
$ 1s.00
s 40.00
SPRINGFIEIJ)oREGON 97477INSPECTTONREQTIEST72$rt3fl$9d stsnOFFTCE: 726_3759
1 I
ON
3. COHPIJTE FEE SCMDULE BELOV
A. Nev Residential_Single orMulti_Family per a"Effins. unit.Service rnciuied: ----"6 srr
Items
1000 sq.ft. or 1essuach additional 500sq. ft or portion
thereof
Each Hanuf,d Home. or
-
Hodular DvellingJervtce or Feeder
Sum
\1,
Permi ts are non- t ransferable and lreif vork is n ot started vith in 180 d aysof issuance or if vork is s uspended for180 days
2. COMTRACTOR TNSTAILATTON ONLY
Electrical Contracto Waddress P,0,W
Phoneffi{-Aq1
Sup ervisor License Number
Expiration Date io-
Constr Contr. Number b--lffia
Expi ra tion io -1€
Signatu trician
0vners N,ame
Address
Ci ry Phone
OVNER TTON
Services or FeedersfnstaLlation, alteiationsor Relocation:
200 amps or 1ess l/
,X't ames to 400 amps +
<4X+ amps to 600 amps --our amps to 1000 amps-over 1000 amps/volt" .-.-
Keconnect OnIy
B
LI :EJ
i
0s s0.00
$ 60.00
$100.00
$130. oo
s300.00s 40.00
C T_"*lo.r3r, Services or Feederslnstalla.t ion, AL tera t ion -oi-iu
200 amps.,or less201 ;;; I. lgi-",ps l_ i 13:38over 401 to 600 ;ti" :_ S BO.OOOver 600 amps or ibOO-G-Its see ilBr affi?f
ttftQd:'ch circuits . -.Nev, Alteration or Extension per panel
One Circui tEach Addi rionalCircuit or vith Serviceor Feeder perni t
loca t ion
s 3s.00
S 2.ooThe installation- is being made onproperty r ovn vhich i. ;";-;;tlnaeafor sale, lease or rent.
Omers Signature:
I;:::ri:l!ofg (service/feeder not. in-Lacn rns tal"la t ron
:yil,:. irrigation S 40.00srgn/Ourtine Liqhting- i iO.Of;llljj"q Energv/fr.es _ s 20.oo
E
cluded.)
DATE:5
RECETVED
SUBTOTAL OF ABOVEJ./" btate Surcharge3Z_Administrative FeeTOTAL
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