HomeMy WebLinkAboutPermit Electrical 1999-12-08OREGOA'CITY OF
approval LD
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E6r!3l,@ Signature
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-02
Permi ts are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIiITRACTOR INSTALI..ATION ONLY
S} ,GFIELG'
PBRHIT APPLICATION
City Job Nunber
3. COUPLSIE FEE SCEEDTIIJ BELOU
A. Nev Residential-Sing1e or
The lollowlng proiecl as submitted has the-tollox'ing
;l;';;;;"i"es not require speciric land use
225 FIFTE STREBT
SPRINGFIEIJ, OREGON 97
INSPECf,ION REQUEST: 7
OFFICE: 726-3759
L,q T
Elec t ri c
Address
cir
OVNER
Contrac tor
TION
L
Electrician
Phone 1Ll 1 -tffi
200 amps or
201 amps to
less
600 amps
1000 amps
Sum
<ze
.00
.oo
.oongrr .ffif
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home- or
-Hodular DveIIing
Service or Feeder . $ 40.00
B. Services or Feeders
tt / Installation, Alterations
f M:fup Relocat ion:
s3 401_
601
0ve
sto
to
R
c
200
20L
0ver 1
0ver 600 amps or 1
D. Branch Circuits
/voI ts
ces or Feeders
ation or Relocation
$ s0.00
$ 60.00
$100.00
$130.00
$300.00s 40.00
Ci ty Phone
Supervisor License Number
Bxpiration Date ()
Constr Contr. Number
Expirat Date
of
0vners Name
Address
Nev, Alteration or Extension Per Pane1
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
s 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limited EnergY/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
$
$
40
55
80
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
-
t"'I
RBCEIVED
5
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