HomeMy WebLinkAboutPermit Electrical 2000-10-161 LOCATION OF INSTALLATIONS., q5^A-
JOB DESCRTPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION ONLY
EIec t rical contractot ElIS(}tl t'!'E$ElC sEflYift
eddressDO f\o*
cir Phone Stlra \krtl
upervisor License llu*b"d&A-S-
Expi ration Date \g>-t-c:t
Constr Contr. Number (oc-
Expiration Date
s ture of Supervising Electrician
The totlowing Proi ect as submitted has the
zoning, and does not require specilic land
Q--/("-@ CAL PERHTT APPTICATTON
City Job Numbe r (:xr'oi5nZ-Al
3. COHPI,ETE FEE SCEEDUIJ BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1-000 sq.ft. or less S 85-00
sach additional 500
sq. ft or portion
thereof S 15.00
Each Hanuf'd Home- or
-Hodular 'DvelIing
'service or Feeder .$ 40.00
.B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/voIts
Reconnect 0n1y
c
apProval
Date225 PTFTE STR-EET
SPRTNGFTELD, OREGoN 97 477
INSPECTI0N REQUESTz 726-3
OFPTCE: 726-3759
769orrzed Signature
Sum
$ s0.00
s 60.00
$100.00
$130.00
s300.00
s 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $
201 amps to 4OO amps
-
S
over 4bL to 6oo amps
-
$
over 600 amps or tbOo-irol-[s s
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit t $ 3s.oo 35:'
Each Additional
Circuit or vith Service
or Feeder Permit--- 5 $ 2.oo iry
Miscellaneous (Service/feeder not included)
77s S 1z*
Ci ty :: Pz= ,J Yhone 33/ ' 7 267
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhibh is not intended
for saIe, Iease or rent.
Osners Signature:
.DATE:
40.00
5s.00
80.00
ee rtBr a6Ove-
0r.rners
Address {
D
E.
-Each installation
Pump or irrigation _
Sign/Out1ine Lightirg_
Limited Energy/Res _Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Sureharge
3Z Administrative Fee
TOTAT
$ 40.00
s 40.00
$ 20.00
$ 36.00
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