HomeMy WebLinkAboutPermit Electrical 1998-03-02Permi ts are non* t ransferabl e
if vork is not started vithin 180 day
of issuance or if vork is suspended f-
180 days.
2. CONTRACTOR INSTALLATION ONLY
SP't,=.o
ae s&m[ted haatho
requhe opooIlo hfid uao
ELECTRICAL PBRHIT APPLICATION
ob Nurnber L8
3. COHPI.4TE FEE SCIIEDULE BELOV
A. Nev Residential-Single or
MuIti-Family per dwelling unit.
Service Included:
I tems Cos t
$ 85.00
exp 4 s 1s.00rre
s 40.00
s or Feeders
t ion, AI terat ions
t ion:
,r,rtg pfojoct
,,u, and do€6 not
approvd.
225 TIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
0FFICE: 726-3759
1
LEGAL
e
J
Electri
Address
caI Contractor
)-
Ci ty
11 02- 3o
o
f)-r less
400 amps
600 amps
000 amps
97 47
lL
TI
,
Phone
()L
Su nt
0 i ft. or less
i. tional 500
00
or portion
uf'd Home or
Dvelling
or Feeder
r
P
d
t
q
d
t
o
t;
a
t.
0
h
1 C
,)
s/voIts
s 50.00
$ 60.00
s100.00
s130.00
s300.00
s 40.00
0ver
Recon
200 anrps'
201 atnps
Over 401
Over 600
6,d6-l/VsctE- 16)
)i
401
601 f
Supervisor License Number
Expiration Date )a/:12
Constr Contr. N
Expiration Date
-_-r_unrber
signa of ng Electrician
q3t4z Temporary Services or Feeders
Installation, Alteration or Relocat,ion
C
'or Iess
to 400 amps
--
to 600 amps
amps or 1000-T5fTs
$ 40.00
$ ss.00
$ 80.00
see "Brt bov ea
0wners Name
Add res s tLt I a
Ci ty Phone
OVNER INSTALLATION
The installation is bein61 made on
property I ovn vhich is Itot intended
for sale, Iease or rent.
0rqrers Signature:
D.Br;rnch Ci rcui ts
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permi t $ 2.00
I
SUB'IOTAL OT ABOVE
5Z State Surcharge
3Z Admi n i.s t ra t i ve Iree
TOTAL
l'1iscellaneous (Servj.ce/feeder not included)
-[ach irrs ta]lation
Pump or irrigation $ 40.00
sign/ourline Lightingl $ 40,00
i,imi ted Energy/Res l: $ 20.00 ...I
224 'N2
U5
DATE:
RBCEIVBD
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'oc