HomeMy WebLinkAboutPermit Electrical 1998-07-08CITY OF
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SPFiIT IELO
CAL PERHIT APPLICATION
$ s0.00
s 60.00
$100.00
s130.00
s300. 00
$ 40.00
40.00
55.00
80.00
ee trB* a6ott
225 FIFTE STREET
SPRINGFTELD, OREGoN fvW?F*
fNSPEC;TION REQUEST: 726-3769
OFFTCE: 726-3759
1 LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. COIVTRACTOR INSTALI.,ATTON ONLY
Electrical Contractor@ d/..-+ 5;r*,,
Address .po A.o. "11s
Ci ty PhoneqlQ$- t{r8l
Supervi icense Number t{q.f, 5
Expiration Date lo /qg
Constr Contr. Number
Expiration Date lo la I
Signature of Supervising Electrician
Ovners N
Address sS-"- o
..;'ri n /l
zoni,rw.-99---,?Y48
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OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
Job Nunber
LETE FEE SCHEDULE BELOV
Residential-Single or
Multi-FamiIy per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterati.ons
or Relocation:
1$rs
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconnect 0n1y
200 amps''or less $
20L amps to 400 amps
-
S
Over 40L to 600 amps
-
$
Over 600 amps or 1000 voITs s
1$e\t
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
T
Sum
B
C Temporary Serviees or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Eaeh Additional I s 3s.ooOS:
Circuit or vith Serviceor Feeder Permit _J_ S 2.OO .f:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
$ 40.00
s 40.00
s 20.00
$ 36.00
31 h
DATE:
BRECEIYED
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