HomeMy WebLinkAboutPermit Electrical 1997-01-21C'TV OF OREGON
I-DL
SP,lI..\iFIELE,
EIJCTRTCAT PERHTT APPLICATION
City Job Number 0
SPRTNGFTELD, OREGON 91 411
INSPECTTON REOUEST: 726-3769
225 FIruH STREET
OFFICE: 126-3159
1. LOCATTON OF
N/M
COMPI-ETB FEE SCEEDTILE BELOS
Nev Residential-Single orMulti-Family per dvelling unitService fncluded:
Items
DESCRT
C63 x
JOB DESCRIPTION
Permits are non-transferable and expire
i f vork is no t s tarted 'iri thin 180 divsof issuance or if vor},- is suspended ior
180 days.
2. CONTRACTOR INSTAII-ATTON ONLY B
Electrical Contractor Soni trol Secur i ty
\
Address P.O. Box 21009
24 2A
^/.
3
A
ulry tuqene Phone461-567 C
1000 sq.ft. or Less
Each additional 500sq. ft or portion
the reo f
Each Manuf,d Home or
-
ModuLar Dvelling
Service or Feeder
Services or FeedersInstallation, Alterationsor Rel-ocation:
200 amps or l-ess
201 amps to 400 amps
-
401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect 0n1y
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Admi.nistrative Fee
TOTAL
Miscelfaneous (Service/feeder
-Each installation
Pump or irrigation _ $
Sign/Outline Lighting_ S
Limi ted Energy/Res i S
Limi ted Energy/Comm S
Cos t Sum
$ 8s.00
s 1s.00
$ 40.00
s s0.00
s 60.00
s 100. 00
$130.00
s300. 00
$ 40.00
3o@
bod
Supervisor License Nurber B E-r
Expirat ion Date /o-/-q
Constr Contr. Number 651 49
Exp iration Date €@
Signa of ising Eiectrician
Ovners Name
Address rn(
Temporary Services or Feeders
Installation, Alteration or ReLocation
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
-0ver 600 amps or 1000 volts
Irl
C
E
s 40.00
s ss.00
s 80.00
see ttBtt
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Ci rcui t
Each Additional
Ci rcui t or vi th
or Feeder Permit
s 3s.00
Servi ceci ry-pnone 746 - 53/7
OIINER INSTALLATION
The installation is being made on
property I oun which is not intended
f or sal-e. ]ease or reni.
Owners Signature
,
a6ove
2.00
not included)
s
40. 00
40. 00
20. 00
36.00 =W
5
DATE:
RXCEIVED
'1-r
&/:o Q
it.
Zoning_
- 2/Y)a1