HomeMy WebLinkAboutPermit Electrical 2001-08-24CITY OF
approval.
Zonlng
zz5 FrFTE sTREET Date
SPRINGFfELD' OREGOfl lTaflprtzed Sisnature
INSPECf,ION REQI EST.z 726-3769
OFFICE: 726-3759
\qrtifA,F ELEctRIcAL PERHIT APPLICATIoN
o Ci ty Job Nurnber -oo -o
3. COHPLETE FEE SCBEDULE BELOIT
A. Nev Residential-Single or
The lollowing proiect as submitted has the following
zoning, and does not require specific land use
PRINGFIELI,
per dvelling unit.
uded:Items Cost
a
d-=",
taoT zs-<)aoz-aq
JOB ft. or less.itional 500
$ 8s.00
Each
Permits are non-transferable and expire
sq. ft or portion
thereof $ 1s.00if vork is not started vithin 180 days Each Hanuf,d Home. or
-of issuance or if vork is suspended for Hodular'Dvelling -, r>,-.\
180 days. SerVice or Feeder 2 $ 40.00 \L'
1. LOCATION OFtqlq
IJGAL DESCRIPTION
2. CONTRACTOR INSTALI,ATTON ONLY
-vSupervtsor License Number
Services or Feeders
Installation, Alterations
or Relocation:Electrical Contractor te^tru>
Address 2/z ,4e
Ci ty {Le* Phone 74 ? - lSoc:
MuIti-FamiIy
Service fncl
sq.
add
Su
i\
fr&
B.
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
$ s0.00
s 60.00
s100.00
s 130. 00
s300.00
$ 40.00
?f5-s
Expiration Date
constr conrr. Number 6 7/>7 E6^
Exp iration Date L)r_
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
' 0ver 600 amps or lOOOEffs see uBu a66G
D. Branch Circui ts ; ..
Nev, Alteration or Extension Per Panel
a
7----7-Signature of Electrician
,Ovners Name i,
Address lltq 7 2*L =?
ci <e,ur)
-PhoneOVNER TNSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Onners Signature:
DATE:
One circuit $ 35.00
Each Additional
or Feeder Permit-- -a $ 2.oo ' Z
Hiscellaneous (Service/feeder not includer
-Each installation
Pump or irrigation $
sigir/outline Lightine- $Limited Energy/Res $
Limited Energy/Comm $
SUBToTAL 0F ABoVE
1 fl State Surcharge' 3Z Administrative Fee
TOTAL
E
40.00
40.00
20.00
36.00
TURECEIVEDBY:
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