HomeMy WebLinkAboutPermit Electrical 1999-08-09CITY OF SPR"VGFIELD, OFEGO'V
225 FTT.M STREET
SPRTNGFIELD, oREGON 9
INSPECTION REQTIEST:
OFFICE: 726-3759
1 TOCATION fr 5
DESCRIPTION
?-
JOB DESCRIPTION
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 CONTRACTOR INSTALI"A,TION ONLY
SPi iFIELC,
CATION
7f
3. COHPI,ETE FEE SCEEDT'LE BELOS
A Nev Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
$ 40.00
B.Services or Feeders
Installation, Alterations
or Relocation:
Sum
Supervisor License Number ysol
Expiration Date 0 0t
,1 3',)
C.Temporary Services or Feeders
Insiallation, Alteration or Reloeation
Electri
Address
cal Contractor
D
Ci ty L Phone
Constr Contr. Number
ct,+rz !{loin'r
NOTICE:
€or-
wonLl-
ffiBs
amps /voI t s
t 0n1y
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
$ s0.00
s 60.00
s100.00
$130. 00
s300.00
s 40.00
40.
55.
80.
:e ll
5L
Eove
00
00
Brt a
Expiration Date I oc)
Signa of 1 1
0vners Name
Address 3 ffier
Ci ty Phone ]{
OVNER INSTALT,ATION
The installat j.on is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
200 amps''or less $
201 amps to 400 amps
-
q
over 4b1 to 6oo ambs
-
$
0ver 600 amps or tb00 voITs se
ANY 180 D
D
00
u-e
Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35'00
Eich Additional
Circuit or vith Service- t /or Feeder Permit A $ 2'00 I 'b
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited Energy/Res
,g rJ
L)o oo
E
$ 40.00
$ 40.00
s 20.00
s 36.00
u5 \:u?.
t.7tr
RECEIVED
7 z./o
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