HomeMy WebLinkAboutPermit Electrical 1999-10-22OREGONCITY OF
225 FIFTE STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQITEST | 726-3769
oFPICE: 726-3759
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1. LOCATION
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JOB DESCRIPTION
Igr^i (irr.O
Permits are non-transferable and expire
if vork is not started vithin 1B0 days
of issuance or if vorlc is suspended for
180 days.
2. COMRACTOR INSTALII\TION ONLY
Electrical Contractor
Address t,4o*
city tr.4f-rjtlle Phone
Supe rvi.sor License Number 339
Expiration Date o
Constr Contr. Number
Expir:ation Date G>
Signa ture of Supervising Electric iaEo
Ovners Name o
Address tl O t4 I 3-7+r. Dta--.-=-
Ci ty Phone
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
SP. .;FIELO
EI,ECTRICAL PERHIT APPLICATION
COHPLETE FEE SCIIEDTILE BELOV
New Residential-Sing1e or
MuIti-Family per dvelling unit.
Service lncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
3
A
LEGAL DESCRIPTION
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200 amps or less
201 amps to 400 amps _40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
$ s0.00
s 60.00
s100.00
s130.00
s300.00
$ 40.00
porary Services or Feeders
tallation, Alteration or Relocation
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amps"or less $ 40.00
"rp" to 400 amps
-
$ 55.00r abr to 6oo amps
-
$ Bo.oo
r 600 amps or iOOO-vofts see ttgtt u[frf
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ 35.00 Y. -
Each Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 I-:
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _
Sign/Ou tline Lighting_
Limited Energy/Res
Limited Energy/Comm
31. -
E
$ 40.00
$ 40.00
$ 20.00
s 36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
DATE:0-1
RECEIVED
city Job uunuer 4? /'J b 1
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l. t I
$40 .70