HomeMy WebLinkAboutPermit Electrical 2000-07-31C'TY OF SPRINGFIELD, OREGO'U
The following Prolect
uire specilic
the following
,land use ELECIRICAL PERHIT APPLICATIONas submitted has
does not req
T. .Ii.GFIELD
ty Job Nu.mber DO-A lllt-<>
225 ?TYTE STREET
SPRINGPIEI,D' OREGON
INSPECTTON REOTJBST:
OFFICE: 726-3759
1. LOCAT roN 0r'r+.
zoning, and
9d{p7fuar'
726-37ffiiing1--a
r.J r
Sumr>KOo
DE ON
Permi ts are non-tr sferable and expire
DATE: E> 7
PEE SCEEDIII.E BELOV
Nev Residential-Single or
MuIti-Family Per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
s 40,00
Services or Feeders
Installation, Alterations
or Refocation:
if r^rork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.ATTON OM,Y
ciry SPfli Pnone 7/6 6y'3'/
OIINER INSTALLATION
The instaLlarion is being made on
propert',' I ovn uhich is not intended
for saIe, lease or rent '
Ovners Signature:
Date
IJGA.L DEa03'z SCRIPTIONs3q
A
B
ElectricaL Contractor Soni trol Secur i ty
Add r essP.O. Box 21009
Ci ty Euqene Phone 461 -5 678
Supervisor License Number
Expiration Date
Constr Contr Number 65149
Expiration Date 6-28-00
Sirn ature of Su pervising Electrician
Ovners Name
Address t0
c
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Peeder Permi t S 2.00
E. Miscellaneous ( Service/ feeder not included
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limi ted EnergY/Res _Limited Energy/Comm /:#64-
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or fess S 40.00
over 4b1 to 600 amps
-
S Bo.0o
Over 600 amps or 1bO0 voTts see rrB" a66!E-
Branch Circui ts
Nev, Alteration or Extension Per Panel
200 amps or I
201. amps to 4
40L amps to 6
601. amps to 1
Over J.000 amp
Reconnect 0n1
00 amps
00 amps
000 amps_,s/volts _v_
s s0.00
s 60.00
s100.00
s130.00
s300. 00
s 40.00
Ses
D
)
S
S
q
4
4
2
3
on
00
f.J(f,r:3
0
0
0
00
5 SUBTOTAL OF ABOVE
lZ State Surcharge
3Z Administrative Fee
TOTAL
s5
'.8cfmr:F. m
Lr.I.-t
ci''.f:)
RECEIYED B
6O
*.1(:)
ffr
s 1s.00