HomeMy WebLinkAboutPermit Electrical 1998-07-01CITY QF
e
SPPJNGFIELD, oREGoN 9
INSPEC;TION REQTIEST:
OFFICE: 726-3759
UNDER
1 LOCATION OF INSTATLATIONclsLitr - cso-rL
I,EGAI DESCRIPTION
JOB PTION
Permits are non-trans erable and expire
if vork is not started vithin 180 days
of lssuance or if vork is suspended for
L80 days.
2. CONTRACTOR INSTAI,LATION ONLY
Electrical Contracto
Address
Ci ty Phone 3+3 - tb{l
Supervi License Number 134.f.-S
Expiration Date
Constr Contr. Number q,bLl UC-
Expiration Date ro lqq
Signa of Supervising Electrician
Olrners lu"r0.[r.* SCz'.*^-
city$[fuL Phone
-\\
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
NOTICE:
PERMIT SHALL EXPIREIFTHEWORK
THSPERMIT lS NQfucrnrcAl pERHrr AppLrcATroN
oRIsABANDONEDFoR ,rty Job Number
ANY 18N NAY PERIOD 3. COHPI,ETE FEE SCMDUI,E BELOV
SPRit-r :LO
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
A
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanufid Home. or
Modular Dvelling
Service or Feeder'
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps
0ver 1000 amps/volts
-Reconnect 0n1y
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
20L amps to 400 amps
-
S 55.00
over 401 to 600 amps ......-.-- S 80.00
0ver 600 amps or 1000 toTIs see "Bu a66TE-
s 8s.00
$ 1s.00
$ 40.00
B
C
s s0.00
s 60.00
s100.00
$ 130. 00
s300. 00
s 40.00
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 Qro
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
Limited Energy/Comm
an*\E
$ 35.00 .q5 "'-
00
00
00
00
s40
s40
$20
s36
. RBCEIVED
5
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Address \-l t8 I -o; ..L.-,
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