HomeMy WebLinkAboutPermit Electrical 2000-09-13CITY OF SPR OREGON
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Authorized Signature
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CAL PERHIT APPLICATION
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225 FTYTH STREET
SPRINGFIELD, OREGON
INSPECTION REQTIEST:
oFPICE: 726-3759
1. LOCATION OF
2
I.,EGAL DESCRIPTION1703 ZqqZ ozTq{
ty Job Nunber C>o - O 138{-D
COHPI,ETE FEE SCBEDTILE BELOV
Nev Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:Itens Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -l-201 amps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect OnIy
Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
DESCRIPTION
Permits are non-transferable and expi re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COhITRACTOR INSTALI.'ATION ONLY
Electrical Contractor
Address en€ 0e 9?402
Ci ty Phone 4t5-
Supervisor License Number 32 -S
Expiration Date
Constr C ontr. Nrrmber +ZqU
C
Exp iration Date I z- to- 03
Signa Supervising Electrician
Ovner.s Name
Add ress R
Ci Phone
OVNER I ALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Owners Signature:
DATE:
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 vofEs
B
ce
s s0.00
s 60.00
s100. 00
s130.00
s300.00
s 40.00
s
s
$
s
2-00
.00
.00
.00
ee nBr a6OVe-
00
00D
ofr --,1-
40
55
BO
D. Branch Circui ts
Nev, Afteration or Extension Per Pane1
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting
Limi ted Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Admini.s trative Fee
TOTAL
$ 40.
s 40.
$ 20.
s 36.
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