HomeMy WebLinkAboutPermit Electrical 1999-11-22225 TIFTB STREET
SPRTNGFIELD, oREGoN
INSPECTI0N REQIIEST: ^,7OFFICE: 726-3759
1. LOCATION OF
te
ilirirto'
ANYlSODAYPERIOD. 3.,ALLATION
SP}...rGFIELD
COMPLETE FEE SCEEDTILE BELOV
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PERHTT APPLTCATTON
oR ISABANDoNED rofi tV
ISNOT
Job Nurnbe, qQ / SAf:
A. Nev Residential-Single or
Multi-Famil
Service fnc
y per dvelling unit.
luded:
JOB DESCRIPTI
Permits are non-transferable
if vork is not started vithi
of issuance or if vork is
1.80 days.
I tems
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manufrd Home. or
-Modular Dvelling
Service or,Feeder-:
. Services or,lFeeders
. InstalLation, Alterations
or Relocation:
c.
E
expi re
Cos t
$ 8s.00
Sum
s 1s.00
$ 40.00
ee rBr aEOvE*
.dayedf s
or
2. COMRASTOR INSTALI-.ATION ONLY
ca
Electrical Contractor
Address b.g-?t((
ci tv U) J*-.r.^ tl *phone 7 ye{a<{ I
Supervi.sor License Number 9 3,6t
Expiration Date,o 6
Constr Contr. Number
Expir:ation Date o
Signat of Supervising Blectrician
Ovners Name
Address
200 amps or less
201 amps to 400 amPs
-
40L amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0niY
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps''or less
201 amps to 400 amPs
-
Over 401 to 600 amps
0ver 600 amps or 1000 voTT
SUBTOTAL OF ABOVE
1757" state Surcharge
32 Administrative Fee
TOTAL
5a
-7-rT--a',--a -
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional-Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited Energy/Comm
.-o, dOa)-s s0.00
s 60.00
s100.00
$130.00
s300.00
s 40.00
$
$
$ss
40.00
55.00
80.00
D
Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn ruhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: il
gnucqd)-Phone 7{7'az=q
s 40.00
$ 40.00
$ 20.00
$ 36.00
a,
RECEIVED B
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DESCRTPTION
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