HomeMy WebLinkAboutPermit Electrical 1996-01-05CITY OF
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225 FIFTB STRXET
SPRINGFTELD, oREGoN 97477
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OFPICE: 726-3759
1 TTON OF
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JOB DESCRIPTION@m4 KAhB+T|K -U{6oW fllFtP4
2. CONTRACTOR INSTATLATTON ONLY
Electrical Contractor ee
Address ?, O, 8ox ( kE
ciry (YXT3€- q1\7 Phone 4t -rocq
supervisor License Number 4Ot t\ -9
Constr contr. Number l AZ LO
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Date \J.b ELECTRICAL PERHIT APPLICATION
City Job Number flum>(e
ON
3
A
FEE SCMDULE BELOV
Nev Residential-Single orMulti-Family per dvelling unit.Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each addi tional 500sq. ft or portion
thereo f
Each Manuf'd Home. or
-Modular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
S
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less I201 amps to 400 amps
-
401 amps to 600 amps
-601 amps to L000 amps-over l-000 amps/volts
-Reconnect Only
Sum
Permits are non-transferable and expire
i f vork is no t s tarted vi thin 180 daysof issuance or if vork is suspended for
180 days.
B.
s s0.00
s 60.00
$L00.00
s130. 00
s300.00
$ 40.00
@_
Expiration Date
Signature of ing Electrician
0vners Name U \C eZ\ r.-lJ r L-9or.J
Address 23*U !;i"t t
Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhi.ch is not intended
for sale, lease or rent.
0vners Signature:
DATE:
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps''or less S 40.00
201 amps to 400 arp"
-
S 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 voTts see "B", a66iE-
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Serviceor Feeder Permi t l0 $ 2.00 @:_
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0u tline Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAI
_\
s 40.00
s 40.00
$ 20.00
s 36.00
5
RECETVED
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Expiration o.t. iO -t- 9€
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