HomeMy WebLinkAboutPermit Electrical 1996-10-03SPFlINGFIELD
225 FTTTH STREET
SPRTNGFTELD, 0REGoN 97477
INSPECTION REQIIESTt 726-3769
OFFICE: 726-3759
zoning, and does not requ ire specilic
approvai.
Dart:-
Aurhorized
APPLICATION
City Job Nunber 3
3. COHPLBTE FEE SCEEDI'LE BELO\J
A Nev Residential,-Single or
Multi-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvel-1ing
Service or Feeder
s 8s.00
c
FA
200 amps or }ess
201 amps to 400 amPS _
Over 401 to 600 amPs _
Over 600 amps or 1000 volts
1. LOCATI ON OF INSTALLATIONfh
ON o
JOB DESCRIPTION
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. CONTRACTOR INSTATLATTON OM,Y
Electrical. Contractor Son i trOl Secur t Iy
Addre ss P.O. Box 21009
Ci ty U e
Supervisor License Number /4ffi RET
Expi.ration Date - /- qg
Constr Contr' Number 65149
Expiration Date 6-28-96
Signa ture of Supervising Electrician
s 1s.00
$ 40.00
Services or Feeders
fnsta]1ation, Al-terations
or Relocation:
200 amps or less
201 amps to 400 amPS _
401 amps to 600 amps _
601 amps to 1000 amPS-
Over l-000 amps/volts
Reconnect OnlY
Temporary Services or Feeders
Installation, Alteration or Relocation
B
Sum
ee rrBrr a6ove
s 3s.00
s s0.00
s 60.00
s100.00
$130.00
s300. 00
s 40.00
$
$
s
S
$
$
$
$
40. 00
55.00
80.00
Ovners Name c-h
Address & m *s aA*ve
Ci ty Phone ?46- 6539
OITNER INSTALLATTON
The installation is being made on
property I oun vhich is not intended
for sa1e. lease or rent'
Orrners Signature:
DATE: /C -
D. Branch Circuits
Nev, Alteration or Extension Per Panelt Con
s 2.00
E. Miscelfaneous (Service/feeder not incl-uded)
-Each installation
Pump or irrigation _Sign/Outline Lighting_
Limited Energy/Res
Limi ted Energy/Comm I ?6@
3aatgo
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
00
00
00
00
40.
40
20.
36.
5
RECEIVED B
t08-trE"-
Phone 461 -5678