HomeMy WebLinkAboutPermit Electrical 1995-02-03CITY OF SPRINGFIELD, OREGON
The lollowing proiect es submitled hes the
zoning, and-dbesnot roquiro specilic land
225 PIrrE STREET
SPRINGFTELD, oREGoN 9
INSPEGTION REOTIBST:
OFFICE: 726-3759 Authodzed Sig natuie
1. LOCATTON'<7 t/'wroNOP INST
DBSCRIITTION
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. COMRACTOR INSTALI.,ATION ONLY
sP$.jFIELD
use
BI,ECTRICAL PERUIT APPLICATION
City Job Nunber
SCEBDIIIJ BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/vo1ts
-
Reconnect 0n1Y
A
C
E
Sum
B
Supervisor License Number /IZ,PS
Expiration Date
Electrical Contractor
Address
Signa rv1s1
.)
0vners Name
Temporary Services or Feeders
rnstallaiion, Alteration or Relocation
5'O oO
Phone
$ s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
$
$
)
S
ectrician
200 amps or less
201 amps to 400 amPs
-Over 401 to.600 amPs
Over 600 amps or 1O00ETts
40.00
55.00
80.00
ee nBrr aE6ve
D Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35-00
Each Additional
Circuit or vith Service
oi reea"r Permi;--'3 $ 2.oo L'9
Miscellaneous (Service/feeder not included)
-Each i,nstal-l-ation
Pump or irri.gation $ 40 ' 00
riilitedEnergy/Res - $20'00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAT
Address .."/y /zz
-f ' fr, i'h""" ?4V?6(FCi ty
OIJNER TNSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent'
Owners Signature:
DATE:
RECEIVED B
5
o1!
--2),"FY*Y/- qu+34'u
c:.tv EltTrz,ttz
$ 40.00
Expirat ion ourc 5 er*T/- ?5
Constr Contr. nunber :5V43/