HomeMy WebLinkAboutPermit Electrical 2000-08-25SI'FII'r.GFTELO
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225 FIFTE STREET
SPRINGFIELD, OREGON flttJ 7
Zoning 0 0--
TNSPECTION REOTIEST:
OFFICE: 726-3759 Signature
1 OF T
I..EGAI DESCRIPTIONl7n4LSrz 6b re,>--,
c
Permits are non-transfera e and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
1.80 days.
2. CONTRACTOR INSTALLATION ONLY
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber
FEE SCEEDIILE BELOV
Nev Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dve).1ing
Sertice or Feeder
s 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
&/ Zs -ao
A
B
c
Sum
Electri
Address
ca1 Contractor
Ci ty
Superviso
Expiration Date
Signa of Su
Phone
cl.an
200 amps or less
201 amps to 400 amps _
401 amps to 600 amps
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect OniY
TOTAL OF ABOVE
State Surcharge
Administrative Fee
200 amps''or less $
201 amps to 400 amps
-
S
over 4b1 to 6oo amps
-
$
0ver 600 amps or 1000-voITs se
-Each installation
Pump or irrigation $
Sign/outline Lighting--T- S
Limited Energy/Res --..._
S
<-)s s0.00
$ 60.00
$100.00
s130. 00
s300.00
s 40.00
Expiration Date
Constr Contr. llurUe.gfu')bofls--Temporary Services or Feeders
Installation, Alteration or Relocation
40
55
80
e
.00
.00
.00
"Bu a66if
0vners Name
Address
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each A<iditional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Misceflaneous (Service/feeder not included)
Ci ty-Phone
OVNER INSTALLATION
The installation is being made on
ggiH#ffi3lll,'r!11""::"1"i;.
not intended
33;l"gdfifi?11t#e'"'"'
,e08000-I0: $5NUU1
DATE:
40.00
40.00
20.00
36.00
5..SUB'
t'&,
RECEIVED EI:TOTAL
DO
cense Number ,{Y3/-t)6
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