HomeMy WebLinkAboutPermit Electrical 1998-01-06CITY OF
225 FTTTE STREET
SPRINGFIELD, OREGON
INSPECTTON REQIIBST:
OFFICE: 126-3759
1 LOCATION
Authorized Sign
',1{lr*l:u:6
The lollowing Pro
zonlrrg, and does
app.toval.
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of r6"i
SPFtihIGFIELD
ELECTRICAL PERUIT
Ci ty Job Nunber
FBE SCEEDTTLE BELOV
Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Serviee Incl-uded:
ature.
ALLATION
/(.A
E
I tems Cos t
$ 8s.00
$ 1s.00
$ 40.00
Sum
JOB DESCRIPTION z
1-000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Modular DvelIing
Service or Feeder
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;."ce or if vork is susPended for
180 days.
OYNER INSTAII.ATION
The installation is being made on
propert! I ovn vhich is not intended
f or sale . l-ease or ren t '
Owners Siglature:
2. CONTRACTOR INSTALLATTON ONLY
Electrical- Contractor
Address P.O. Box 21009
City E uqene Phone 46
Supervisor Llcense Number
Expiration Date /0 - /-?q
Constr Contr Number 65 1 49
Expiration Date 6-28-00
Signa of Supe Electrician
Owners Name
Address /h /b 30 fh
Phone fr 7- 5&sO
Services or Feeders
Installation, Alterations
or Relocation:
Branch Circuits
Nev, Alteration or Extension Per Panel-
One Circuit S 35'00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited EnergY/Res
-.
Limited EnergY/Comm /
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
oo
B
or less $ 50.00
to 400 amps
-
$ 60.00
to 600 amps
_- S1o0.oo
to looo amps- $13o.oo
amps/vo1t.
-
$300.00
amps
amps
amps
amps
1000
20
20
40
60
0v
e
0
1
1
1
er
tC
s or less $ 40.00
s to 400 amps
-
S 55.00
1 to 600 amps
-
$ 80.00
0 amps or tOOO-voITs see I'8"
nec
ra
on
o
al-10n
above
Services or Feeders
ion, Al-teration or Relocat
ry
t
r0ve
1a
60
D
w
00
00
00
00
$40
s40
s20
s36
5
DATE:
RECEI
RBCEIVED B
o
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