HomeMy WebLinkAboutPermit Electrical 1998-06-16CITY OF SPR"VGFIELD, OFEGO'V
SPFTL:fIELD
225 FTIItfl STREET
SPRINGFIELD, OREGON
TNSPECTION REQTIEST:
OFFICE: 726-3759
1 OF INSTALLATION
c
JOB
Permits are non-transferable and el$
if vork is not started vithin 1-80 days
of issuance or if vork is suspended for
L80 days.
2. COI.ITRACTOR INSTALI,ATION ONLY
EI,ECTRICAL PERHIT APPLICATION
City Job Nunber
3.SCMDULE BELOS
A Nev Single or
dvelling unit.
ed:Items Cost
sq. ft. or less
additional 500
s 8s.00
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
0ver i"000 amps/volts
Reconnect 0n1y
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D EVE LOP M E NT S E RVIC ES D E PART M E NT . :olect
;oes rrot
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-3689
Sum
s see rrBrr a bove
.1P*
amps or less
401 to 600 amps
600 amps or 1000 volt
.le
oB
1
Electrical Contractor
Address
Ci Phone 'l4l -3b
Supervisor cense Number Irs6 s
0lS {h nt-,l..,n ,,r4, r,
Exp iration Date l0-l-q8
Expiration Date 1
of Supervising Electrician
Ovners Name
Address
p#" /+ 85 - l4l'l
DATE:
cit
OIiNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Omers Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.A0
B. Misceflaneous (Service/feeder not included)
ry"$ s0.00
s 60.00
$ 100. 00
$130.00
$300.00
s 40.00
constr contr. Number \dq
$ 40.00
$ ss.00
s 80.00S
200
201
0ver
Over
-Each installation
Pump or irrigation $
Sign/0utIine Lighting- $
Limited Energy/Res
-
$
Limited Energy/Comm $
40. 00
40.00
20. 00
36.00
5 SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTALRBCEIVED a
s