HomeMy WebLinkAboutPermit Electrical 2001-06-15CITY OF SPB"VGFIELD, OFEGO'V
SPR IELO
DEVELOPMENT SERVICES DEPARTMENT
225 FTrm STREET approval
SPRINGPIEU), OREGON
INSPECTION REOTIBST:
OFFICE: 726-3759
97477 Zoning
Authorizeo Signature
1
The tollowing proiect as submitted has the following
;;;,;;;;"t;es not require speciiic land usc
(c-
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
JOB
Permits are non-transferable and expire
if vork is not started r.rithin 180 days
of issuance or if work is suspended for
180 days.
2. COI.ITRACTOR INSTALI.d,TION ONLY
o
B. Services or Feeders
Installation, Alterations
or Relocation:
PERI{IT APPLICATION
ty Job Number Al-A06( 7 -c (
COUPIATB PBE SCEEDIII.E BELOg
Nev Residential-Sing1e or
Multi-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
,r'i',}'qorti$r'U{Tto:
LBGAL DESCRIFTIONi7o z=zz4 C)3ool
A
Sum
Electrical Contractor
Address
Ci Se>LLO vnone7)Qt-G'1o I
Constr Contr.
Expiration Date
* Signature of Supervising Electrician
-ftr,-'t'4-**-
0wners Name
OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: OGI;o I
200 amps or less
201 amps to 400 amps
-401- amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/vo1ts
-Reconnect Only
Supervisor License Number 3O? 3 <
Exp iration Date /o/e/ la t
Number JC -?anC
L
$ s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
c Temporary Services or FeedersInstallation, Alteration or Reloeation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 anps
-
$ 80.00
0ver 600 amps or 1000 voTTs see uBu abive
'i)'.,\o nr.. E. Qg_-S€S(LAddress
Ci :Fr'J prone0{? - /f*O
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit \ $ 3s.OO 35 -
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Uiseellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting
Limited Energy/Res
-
5. SIMTOTAL OF ABOVE
-Jt3::n:t)i>-
-..:.rIlJII-", +:E
$ 40.00
$ 40.w
$ 20.00
$ 3e.qp:
(}H
I,:l(:)
L::)
LN
i:CI.$\
l--"I
Lr'1
7%, state Surcharge
3Z Administrative Fee
TOTALRECEIVED
F+