HomeMy WebLinkAboutPermit Electrical 2001-08-21Date
zz5 FrFTE STREET Authorized Bl$natute
SPRINGFTELD, oREGON 97477
INSPECTION REQLIEST: 726-3769 .
OFFICE z 726-3759
1. LOCATTON OF INSTALLATTON
I..EGAL DESCRIPTION/7.03.as'3r o-71 6n
JOB DESCRIPTION
Permits are nbn-trans ferable and expire
if vork is not'started vithin 180 days
of issuance or- if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,,ATION ONLY
Electrical Contractor
Address //0 lilmr)g
Ci ty E tt6€r?e Phone 344-3sbl
SPrlINGFTELO
ELECIRICAL PERHIT APPLICATION
City Job Number
COHPIJTE FEE SCEEDTILE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less S B5.OO
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
-Hodular 'Dvel1ing
SerVice or Feeder
s 1s.00
s 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or
201 amps
401 amps
601 amps
ilotttng U-
3
A
Sum
B
less
400 amps
1000 amps
s s0.00
s 60.00
s100.00
s130.00
$300.00
$ 40.00
to
to
to-J
Supervi-sor License Number
Expiration Dare ltZ/Ot lOt
Signature of Supervising Electrician
Wnd
Ovners Name Ban.^lr.l4.--
Over 1000 amps/vo1ts
Reconnect 0n1y
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps''or less S 40.00
201 amps to 400 amps
-
$ 55.00
0ver 40L to 600 amps
-
$ 80.00
Over 600 amps or 1000-tofTs see rrBrr a6ove--
D. Branch Circui ts
C
5. SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
Constr Contr. Num
Expiration Date s irz /oz
ber
0
Address lb tt l8h-
citv SlrZ.ke\Phone_---_._u-
OSNER INSTALLATION
The installation is being made on
property I oun vhich is not intended
for sale, Iease or rent.
Ovners Signature:
lll!
Nev, Alteration or Exterrsion Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
{r*-
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
sign/outline Lighting- $ J;mO e.:Limited Energy/Res
-
$ 20.00
I
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b.-
-3.s-4--67.?oRECETVED BY:
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