HomeMy WebLinkAboutPermit Electrical 1994-07-11CITY OF OREGON
SPRTiIGFIELE'
zoning, and
spproval.
Exp
Signature of Supervising Electrician
does not require epecille land uee
,',Wt-225 FIFTH STREET
SPRINGTIELD, OREGON 97
INSPECTION REOIIBST: 7
OFFICE: 726-3759
47bac )- )l- qq
1 LOCATION OF INSTALTATION
a 9. Z x:o
JOB DESCRIPTION
BR,<^-r.l c-t P-,-rK tr.rp- ?tas? L C LrTt /Y/,
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR ONLY
Electrical Contracto
Add
Ci ty e
Supervisor License Number 4OZ-Z S
Exp iration Date I A -, -7S
Cons tr Contr, Number A )A
iration Date +-
EI,E TRICAL PERUIT
City Job Nunber
3. COI{PI,ETE FEE SCMDUI,E BETOI{
Nev Resi.dential-Single or
Multi-Family per dvelli.ng unit.
Service IncLuded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
A
Sum
B
200 amps or less
201- amps to 400 amPs _401 amps to 600 amps _
60L amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps _
Over 600 amps or 1000 volts
$ s0.00
s 60.00
$100. o0
$130.00
$300.00s 40.00
C. Temporary Services or Feeders
fnstallation, Alteration or Rel-ocation
40.00
55.00
80.00
ee rrBtr aEove
$
$
$
s
Ovners
Address
Name Lu ;/ l< ,,*ir a,"r Ree / Rda ,
D. Branch Cireuits
E
Nev, Alteration or Extension Per Panel
one circuit ( $ 35.00 -39@Each Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 2@
Misceflaneous (Service/feeder not included)
-Each installation
Pump or irrlgation $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.strative Fee
TOTAT
F3- oo
A fi^,,77fu
Ci ty SPBtruar tFt -^Phone/24 Z.n
OVNER TNSTALLATION
The installation is being made on
property f ovn vhich is not intended
for safe, Iease or rent.
Owners Signature:
DATE:
RECETVED
5
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