HomeMy WebLinkAboutPermit Electrical 1997-10-09CITY OF SPR"VGFIELD,OREGO'V
SPlill IIELD
EIE TRICAL PERI{IT APPLICATION225 FIFIE STREET
SPRINGFIELD, OREGON 974]1
INSPECTION RE0UEST. 726-3769
0FPICE: 726'3759
City Job Nunber C,
1. LOCATION OF
LEGAL DESCRIPTION
JOB DBSCRIPTION
Permits are non-transferable expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAII,ATTON ONLY
Electrical Contractor Son i trol Secur i ty
Add ress P.O. Box 21 009
Ci ty Euqene Phone 461 -567 8
Supervisor License Number 'i 8o Rtf
Expirat ion oare /D- / - 7Q
Constr C ontr. Number 651 49
Exp iration Date 7-2OO0
Signature of Electrician
Ovners Name
Address e3 55 N /th
Phone ?46-i9ll
OIINER INSTALLATION
COMPTETB FEE SCMDULE BELOIT
New Residential-Single or
MuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or Portionthereof $ 15.00
Each Manuf'd Home or
-Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or ReLocation:
.,f
-1 Sum
B
C.
D
20
20
40
60
0v
Re
0 amps or less
1 amps to 400 amps
-1 amps to 600 amPs _
1- amps to 1000 amPS-
er 1000 amps/vo1ts
connect Oniy
$ s0.00
s 60.00
$100.00
$130.00
$300.00
s 40.00
Temporary Services or Feeders
Insiallaiion, Alteration or Relocation
'Bu a6oTe
Branch Circuits
Nev, Alteration or Extension Per Pane1
One Circuit S 35.00
Each Additional
Cireuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder not included)
200 amps or less $
201 amps to 400 amps
-
S
over 4bL to 600 amps
-
$
Over 600 amps or l-000loFs se
-Each installation
Pump or irrigation $
Sign/Outline-Lighting
-
S
t iili ted Energy/Res - I S
Th e i n s t a 1 1 a t ltE.follqgvi r&rlrnEctrnedebrcritr:d hr
"'
th ": f ollGting
;; ; p ; ; ; ],
- i - o"n y&F?P {E' FsY"ttiredder ran'r i : ;
for sale, Iease ,r r::,:;Ll/__
Ormers Signature rlC - f i''
00
00
00
40
55
BO
e
I
40.00
40.00
20.00
36.00
1^4rc
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
2o"*crz)
DATE:
RECEIYED
D a-a
3
A
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