HomeMy WebLinkAboutPermit Electrical 2001-07-20OFEGO'VCITY OF S
The lollowing pro;ect as submitted has the tollowing
zoning, and does not require speclfrc land use
225 FTYTE STREET
SPRINGFIELD, OPGGON
INSPECf,ION REQTIEST:
0FPICE: 726-3759
approval.
Zoning
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EIJCTRICAI PERHIT APPLICATION
ty Job Nurober,o -oozb6-ot
Nev Residential-Single or
Hulti-Family per dvelling unit.
service rncluded t ,,"r, cost Sum
I.EGAI DESCRTPTIONL 303t1 r> SZ o
JOB DESCRIPTION
Ult s- h-t- P Ar*A-_-t-_-___T___-
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. CONTRAC;TOR INSTALL.A,TTON O}ILY
Electrical Contracto
LOCATTONI*r t
OF
ot
A
C
Address DO .oaq-1
cir rnoneStlrS-lla7l
,uperv i so License Number I.
Expi ra i ion Da te
Expiraticn Date
Signa re of Supervising Electrician
Ternporary Services or Feeders
Installation, Alteration or Relocation
1000 sq. f t. or less
Each additional 500
sq. ft or portion
thereo f
Each Hanuf'd Home. or
Hodular Dvelling
Service or Feeder
Services or Feeders
InstalIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1.000 amps_
0ver 1000 amps/volts
Reconnect OnlY
SUBTOTAL OF ABOVE
7X State Surcharge
3Z Administrative Fee
TOTAI
B.
s 85.00
s 15.00
s 40.00
s 50.00
s 60.00
s100.00
s 130. 00
s300.00
s 40.00
u
200 amps"or less $
201 amps to 400 amps
-
S
Over 401 to 600 amps S
Over 600 amps or 1000-vo-ITs se
00
00
00
Bt' a
40.
55.
80.e"
s40
Sao
s20
s36
/)Sove
s6P
Ovners N
Address
D. Branch Circui ts
Nev. Alteration or Extension Per Panel*! >l-
Ci ty s? /5i Phon{$fg;11*_
OITNER INSTAII.,ATTON
The ins talla t ion is be j.ng made on
property I ovn vhich is not intended
for saIe, lease or rent.
Orners S igna ture :
DATE: 6
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/0utline Light ing-
Limited Energl'/Res
Limi ted Energy/Comm
onecircuit { S35.00
Each Additional
Circuit or vith Service
or Feeder Permi t S 2. 00
._00
.00
.0c
.00
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