HomeMy WebLinkAboutPermit Electrical 1997-10-21225 FTFIE STREET
SPRINGFTELD, OREGoN 97477
INSPECTION REQUESTT t26_37
OFFTCE: 726-3759
1. LOCATTON OF ALLATTON
COHPLETE FEE SCEEDIIIJ BELOV
Nev Residential-Sing1e orMuLti-Family per dvelling unit.Service fncl-uded:
rNSTt
The lollowing proiect as subi
zoning, and doos nct r.iy,iiro
SF-..NGFIELO
ELECTRICAI PERHTT APPLICATION
Ci Job Nurnber
f tems Cos t
s 8s.00
l*=Uq 169
ONLY
\
3
A
I,EGAL DESCRTPTION
JOB DESCRTPTION
2. CONTRACTOR
Electrical Contractor
Address
Ci ty
Supervisor CENSE
Sum
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended ior
180 days.
'Z tr
s 15.00
s 40.00
s s0.00
$ 60.00
s100. 00
s130. 00
s300.00s 40.00
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home. or
-
Modular Dvelling
Service or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to. 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/vo1ts
-
Reconnect 0n1y
B
hone
r
Expiratlon Date \t)\ -Qa
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name
C Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or ]ess S 40.00201 amps to 400 amps
-
$ 55.00
Over 40L to 600 amps
-
S 80.00Over 600 amps or 1000-toITs see ,'8,, a56tE-
D. Branch Circuits
Nev, Alteration or Extension per panel
oneCircuit 4S 35.00
Each Addi tionalCircuit or vith Service
L
or Feeder Permit I S 2.00 Z-e
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation SSign/Out1ine Lighting- SLimited Energy/Res
-
$Limi ted Energy,/Comm S
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAI,
Address
OIINER TNSTAII^ATION
The installation is being made onproperty f ovn vhich is not intended
f or sal-e, lease or ren t .
Ovners Signature:
DATE:
t,
3'-.nciry%phone ?2Z-2/6*
40.00
40.00
20.00
36.00
ae
RECETVED B 7?.?4
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