HomeMy WebLinkAboutPermit Electrical 1994-12-05\-
CITY OF SPR OFEGO'V
Tho lollcwing protect t's submitted has'ttre fotlowing
i"ir;!, diiiir6ei not require specilic land use
L+fSPRTNGFIELD, oREGoN 97h77
!TPflINGT'ELE'
BLBCTRICAL PERI{IT APPLICATTON
City Job Nunber
FBE SCBEDULE BELOS
Nev Residential-Sing1e or
Multi-Family per dvelling trnit.
Service Included:
I tems Cos t
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dwelllng
Service or Feeder
$ 8s.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
INSPECTION REQUEST:
OFPICE: 726-3759
7&, ;37J2tz-:2,?'f
N
I
Aui:'l',;iz'j':j
LOCATION OF INSTALI.J\TION
S. 28th Street Well Field
LEGAL DESCRI
same
ON
JOB DESCRIPTION
Installation of 2OOamp serv
Permits are non-transferable and "*flr"if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. COMRACTOR INSTALI.-ATION ONLY
Erectricar contractor Terard rndustrial
ffi
Address 1919 Laura Street
Ci ty Springfield Phone 747-8460
Supe rvisor License Number L677-S
Expiration Date 10-1-95
Constr Contr. Number 63473
Exp iration Date L-26-95
Si ture of Supervising Electrician
L 6hJ^s
0vners Name SUB Water
Address 2O2 S. l8th
Ci ty Springfield Phone 726-2396
DATE:
RECEI
C Temporary Services or Feeders
InstalIation, Alteration or Relocation
.00
.00
.00
0ver 600 amps or 1000 voITs see rrBrr aEm-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permi t 6 $ 2.00 12.OO
E. Miscellaneous (Serviee/feeder not included)
200 amps or Less
20L amps to 400 amps
-Over 401 to 600 amps l
-Each installation
Pump or irrigation
Sign/OutIine Light ing-
Limited Energy/Res
Limited Energy/Comm
A
Sum
B
200 amps or
201 amps to
40L amps to
60L amps to
Over 1000 am
Reconnect 0n
ess 2
00 amps
000 amps_
s/voIts
v
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
112.00
I
4
6
1
5.60
100.0o
pI
s40$ss
$so
$
$
$
$
40.
40.
20
36.
00
00
00
00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
----3r-C-.-ffi)c-__=:-=-----
lZo' 't'
REgEIVED B
u
V
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
ara