HomeMy WebLinkAboutPermit Electrical 1998-02-26aCITY OF ON
225 FIFTE STREET
SPRINGFTELD, oREGoN 97477
INSPECTION PGQUEST: 726-376horlzed
0FPICE: 726-3759
1 rk
SPFTINGFIELE,
as eubmitted has tho
requlre apeclllc land
BLECTRICAL PERHIT APPLICA
r*
ffie . 401
WOWL
to 600 amPs
to 1000 amPs-amps
ampsPgiltrr 1000
Nunber
3. COHPIJTE FEE SCMDULE BELOII
Nev Residential-Single or
MuIti-FamiIY Per dvelling unit'
Service Included: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
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amPs
The lollowing ProJec-t
aoiiinp, and doee not
eval,
0l
TIONA
A
Sum
J08.,
Permits are non-trans rable re
if vork is not started vi. thin 180 daYs
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contr
B
Addr
Ci ty
Supe
ESS I
200 amps"or less $ 40'99
;oi ;;; io +oo amPs
-
i ::'q90;;'161 io ooo amps - $ 8o'oo
0ver 600 u*p" o,-i660-*ft" see "B" a65vil
$ s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
FOR
Expiration Date
Constr Contr. Number /?,2-,)
TemDorarY Services or Feeders -i""l"ir"il"t' Alteration or Relocation
rvi-sor Li c et8u
Exp!::aticn Date
Signa ture of SuP ervising Electrician
0vner
Address
Ci Phone
NSTALT,ATION
/s Nft:onnect 0n1Y
amps /voI ts
c
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
One Circuit $ 35'OO
Each Additional
Circuit or vith Servicel A;;'F;;;";Permit I $ 2'oo at'
Miscellaneous (Service/feeder not included)
The installation is being made on
piop"tty I ovn vhich is not intended
ior-sale, lease or rent'
0wners Signature:
-Each installation
Pump or irrigation
-
Sisn/OutIine Lighting-
t iilited EnergY/Res
-
Limited EnergY/Comm
$ 40.00
$ 40.00
$ 20.00
s 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
DATE:
RECEIVED
5
p