HomeMy WebLinkAboutPermit Electrical 1999-12-20onEcoluCITY OF SPR Jr
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number ??/:70o
3. COHPLETE FEE SCMDULE BELOV
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:Items Cost
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JOB ION
Electrical Contractor
Address 19 b iscv^t
Ci ty Phone -o9zz
Supervisor License Number LC|TO-3
Expi ra tion Date 1g - l- O I c
Constr Contr. Number 4L
Expiration Date lL -,o - o0
Signa ture of SuPe sing lectrician
SPRTNGFTELD, OREGoN 97 477
INSPECTION REQIIESTz 726-3769
0FPICE: 726-3759
225 FTTTE STREET
1 LOCATION OF INST ON
+A
;r.
Permits are non-transferable and expire
ii "ort is not started vithin 180 days
"i i"tu""ce or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTAIT.ATTON ONLY B. Services or Feeders
Installation, Alterations
C lnC or Relocation:
2OO amPs or less I
40L amPs to 600 amps
-
601 amPs to 1000 amps-
Over l-000 amPs/volts
--Reconnect 0nIY
200 amps"or less $ 40'
ioi "rb" to 400 amPs
_--
$ ::'over abt to 600 amPs
-
$ ao'
Over 600 amps or 1000 voTEs see "
1-000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home. or
Modular DwelIing
Service or Feeder
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Admini.strative Fee
TOTAL
+
s 8s.00
$ 1s.00
$ 40.00
s s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
Sum
3)"00
Temporary Services or Feeders
installaiion, Alteration or Relocation
Sove
00
00
00
Brt a
0wners Name G CoSor+
Add res s 2?>5 ast Gfr ST.
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Servicq
or Feeder Permit I
$ 3s.00
$ 2.00 2,nCi ty Phone
OVNER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for saIe, lease or rent'
0vners Signature:
DATE:
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-_
Sign/0utIine Lighting--
Limited EnergY/Res --_Limi ted EnergY/Comm
00
00
00
00
$40
$40
$20$:o
f
RECEIVED
z a
5 ,o
0F0rObu_,
Authonzes 2 ,o*
Srgnature
Zoning
Date
a-o
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