HomeMy WebLinkAboutPermit Electrical 1998-08-26CITY OF SPRINCFIELD, OREGON
GFIEL1,
225 FIFTE STREET
sPRrNGFrEl,D, OREGON 97 477Aa',nofized
INSPECTION REQIIESTT 726-3769
OFFICE: 726-3759
0
JOB DESCRT
Electri
Address
projoct as submiilod has thsnot requlre specilic land u$s
1..L/
r,c€
ELECTRICAL PERHIT APPLICATION
. ..'ring, and
":;tPrOV6l.
ob Nunber
3. COHPTETE FBE SCEEDT'LE BELOII
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
$ 8s.00
/cb
s 1s.00
$ 40.00
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereofPermits are non-transferable exp
if vork is not started vithin 180 d PERh/tt Manuf'd Home or
of issuance or if vork is susPended 1 ng
180 days.
2 COMRACTOR INSTALI,ATION ONLY ANY IPIIt*yp r
citvGr^a,nts ?a <S Ptone cl? Ll- 9AQ6
Supervisor License Number rzos-.-E rr
Exp iration Date lO- t-
Constr Contr. Number
Expiration Date
Signa of Supervising Electrician
t ions
io^
200 amps or less
201 amps to 400 amPs _401 amps to 600 amps _601 amps to 1000 amps
1000 amps/vo1ts
follow r0 regujres
ders
or Relocation
$ 40.00
$ ss.00
$ 80.00
ts see r?Br a6ott
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2-00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res
Limited EnergY/Comm --t
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
cal Contr actor tcf
a-rglce! L. L, L ,
98'o S.i.t r"1{ Sf.s s0.00
s 60.00
$100.00
$130.00
$300.00s 40.00
c
Ovners Name
Address ) ,:r'\s Mtr\ <. I
Ci ty Phone 72 6 'q335
OVNER ALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
s 40.00
$ 40.00
$ 20.00
$ 36.00
!
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RBCEIVED
5
3f-o,
SF
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