HomeMy WebLinkAboutPermit Electrical 2001-03-15, The tollowrng Proiect as subm
lOr^rlfl$and does not require sPecific land use
ST. GFIELO
ELtr TRICAI, PERHIT APPLICATION
Ci ty Job Nurnbe r Ol-ao ZVS ^ O I
COHPLETB FEE SCHEDI,I;E BELOV
Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:Items Cost
h,
approval
225 FrFrE 51'qgg1 '-rate
SPRIIYGFIELD, 0REGONingrTetFFisnature
INSPEGIION REQUEST: 726_3769
OFPICE: 726-3759
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1 ON OF INSTAILATION3lsr s#
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AI
LEGAL DESCRIPTION
,1029 3L/OVZOO
JOB DESCRIPTIONillertu<6
Pbrmits arre non-transferable and expire
if vork is not started vithin LBO days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Etrectrical Cohtracto
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
s s0.00
s 60.00
$100. 00
s130. 00
s300.00s 40.00
C
D. Branch Circui ts
Nev, Alteration or Extension Per Panel
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
-Modular Dvelling
SerVice or Feeder
One Circui t $
Each Addi tional
Circuit or vith Service
or Feeder Permi t _ S
Miscellaneous ( Service/feeder
-Each ins tallation
Pump or irrigation $
sign/outline Lighting- $
t imi ted Energy/Res
-
S
Limited Energy/Comm S
s 8s.00
Sum
5;<>Lx lL\t 2-
pnon"1{Q)3L
Supervisor License Number ]bTIS
Expiration Date Ic c,t-c I
Cons tr Con tr. Number 3sq q
Q"ol'a>
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 40.00
201 amps to 400 amps
-
S 55.00
over 4b1 to 6oo arbs
-
$ Bo.oo
Over 600 amps or lbOO voTts see I'Brr aE6iE-
1
Expiration Date
Sign f Sup ervl s 1 ng Electrician
0w s Name *U /*L
Add ress Z 3t'+ sl
Ci ty spTN 7w8 Phone 7q7 - L/q6
OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
.iflfifts*l signature:
00'EE s i:0xlu thtu
Tnar-7
l-UULJ
DATE J
E
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Admini.strative Fee
TOTAL
35.00
2.00
not included)
40.00
40.00
20.00
rt--C)
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'rlllt
. -IFl
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-trRECEIVEDBY:
5
Address
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