HomeMy WebLinkAboutPermit Electrical 1998-10-30OREGO'VCITY OF SPR
SPFIIdIGFIELO
Tt ':llowfng prolec't
u-o,ring, and does not
rroval.
225 FIFTE STREEf,
SPRINGFTELD, OREGON 97477
;i,* l0'42)
INSPECTION REQIESTz 726-3V6$M
726-3759,OFPICE:
t syS+,
1
T^EGAL I
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requlmrpectro lutd
EI.,ECTRICAL PERHITT APPLICATION
Nunber
3. COT{PI.,ETE FEE SCffiDTILE BELOS
A. Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:
I tems Cos t
$ 8s.001000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
1 amps to 600 amPs
-
to 1000 amps_
/voI ts
ces or Feeders
teration or Relocation
ONJoq
4
6
Over 600 amps
ess
00 amps
00 amosor 1000 volts
Sum
ee trBn a5frd
Permits are non-tran
if vork is not start
Signature:
sferable and exPire
ed vithin LBO daYs
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI^ATION ONLY
Electrical Contractor
4
Address
Ci tv Phone i4
Supervisor License Number
Expiration Date
Cons tr Contr. Number
Expiration Date-
Signature of Supervising Electrician
/3
rs
Address
ci Phone
OVNER INSTALI..ATION
The installation is being made on
D. Branch Circuits
Nev, Alteration or Extension Per Panel
s 3s.00One Circuit
Each Additi
Circuit or
Feeder
s
Sign
Limi ted
Limi ted
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
50.
60.
100.
130
300
40
40.00
55.00
80.00
s
s
$
s
$
$
$
$
$
s
o;
00
00
00
00
00
property I ovn vhich is not intended
for sale, Iease or rent.
onalvith Service
Permit _$ 2.oo
us (Service/feeder not included)
on
Ener Comm
$ 40.00
s 40.00
$ 20.00
s 36.00
DATE:
RECEIVED
(
5
cE.