HomeMy WebLinkAboutPermit Electrical 1997-03-11.ATY OFSPR
SPrllIN(iFIELO
225 TIFTE STREET
SPRTNGFTELD, OREGoN 97477
INSPE(f,ION REQUESTz 726-3769
OFFICE: 726-3759
1.LOCATIQN4E Nl.
0L
d.
ALI^ATION
SCRI ON
expi re
days
ed for
180 days.
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contracto
Address trL
Ci ty Pho".11lee3b
Supervisor License Number loKleS
Expiration Date ID 1 -q(
Constr Contr. Number
Expiration Date Q1 q7
Signa ture of SuPervising Electrician
h,
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nurnber O?FS
3. COHPIJTE FEE SCffiDTItE BELOV
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:I tems Cos t
Permits are non-transferable and
if vork is not started vi thin l"B0
oi i""uunce or if vork is susPend
A.
B
c
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
l,lodular Dvelling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
or less
$ 8s.00
s 1s.00
.g ao.oo
s s0.00
s 60.00
s100.00
s130. 00
$300.00s 40.00
Sum
6o,oo200 amps
20L amps
40L amps
601 amps
Over 1000
Reconnect
to 400 amPs _-to 600 amps
-
to 1000 amPs-
amps/volts
-
Only
TemporarY Services or Feeders
inii"ff.iion, Alteration or Relocation
200'amps''or less,oi ;r;" to 4oo amps
-Over 401 to 600 amPs
-
Over 600 amPs or 1000 volts
40.00
55. O0
80.00
ee ttBrt aE-OVe
$
$
$
s
Ovners Name
Address
Ci ty Phone 14to
D Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit _-
$ 3s.00
$ 2.00
E MiscefLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
0wners Signature:
s 40.00
$ 40.00
$ 20.00
s 35.00
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
do. oo
A, SOl. So
.{4. o c)
RECETYED B
5