HomeMy WebLinkAboutPermit Electrical 2000-11-22CITY OF SPB'AIGFIELD OREGO'V
DEVELOPMENT SER
225 FTVTE STREET
SPRTNGPIELD, OREGON
INSPECTION REQTIBST:
oFFICE: 726-3759
aPProval
Zoning
7477
9
Autnonzed
LEGAL DESCRTPIION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COT.IISACTOR INSTALI.A:TION ONLY
Electrical Contractor
Address
Ci ty Phone
ELBCTRICAL PERI{IT APPLICATION
City Job Nunber (-Ys -o(1/ /-o r
3. COUPI.ETB FBE SCEEDTIIA BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
s s0.00
$ 60.00
s100. 00
$130.00
$300.00
s 40.00
5?r:
I tems Cost
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Eome or
-Hodular Dvelling
Service or Feeder
s 1s.00
$ 40.00
Services or FeedersInstallation, Alterations
or Relocation:
200 amps or less I
201 anps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/voIts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
T6l[Ts see rrBrl affi
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SPRINGFIELD
the tollowing
land use
SUBTOTAL OF ABOVE
7% state Surcharge
32 Administrative Fee
TOTAL
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-s753
FAX (541) 726-3689
1 LOCATIONl'tlo OF INSTALI,ATION7lq <, h
Sum
B
Supervisor License be
Expiration Date
Constr Contr.
Expiration Dat
Siguature of Supervising Electrician
Ovners Name I
Address lL'/3<>-7f^ s l-
city 5(F) Phone
OIJNER INSTALI,ATION
7q7 -270/
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
C
D.
$ 40.00
$ ss.00
s 80.00
-Each installation
Pump or irrigation $
sign/0ut1ine Lighting- $
t imited Energy/Res
-
$
00
0q
06
40,
40.
20.
36.
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DATE:
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RECEIVED
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