HomeMy WebLinkAboutPermit Electrical 1997-12-03C'TY OF OB]5GO'U
SPRINGFIELD
225 FITTII STREET
SPRINGTIELD, OREGON
TNSPECTION REQTIEST:
oFFICE: 726-3759
1. L0CATIoN 0r TION
o
JOB DESCRIPTION
I
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if.vork is suspented for
180 days.
2.., CO}ITRACTOR INSTALLATION ONI.Y
Elec t ri ca1 Con tractor &t6ei)E- &-kIZ.fC
Addressf2O UOD IZE
\
5} sq. ft or portion
\- thereof
Each Manuf,d Home or
Hodular Dvelling
Service or Feeder
CAL PERHIT APPLICATION
FEE SCBEDIIIJ BELOV
Residential-Si ngle or
-Pamily per dvelling unit.
ice Included:
I tems Cos t
sq. ft. or less s 8s.00
ch additional 500
974
s %
^8
a ust*
ty q -7 tloo
i:ed Signature
Sum
phone.zfl4-337.b /
rvisor License Number / iQ,/S
Expiration Date,/D- /_qg
Constr Contr. Number
Dxpiration Date,/D* / -?d
si sup trician
Ovners Name -+
Address
city &tAetJEi Phone 39f*tr-t7<?
OVNER INSTALI.TTION
The installation is being made on
property I olrn vhich is not intended
for sale, Iease or rent.
I
0vncrs Signature:
DATB: 3 DeOrlnt>",
RIiCEI
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feecler Permi r J $ 2. OO
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 40L to 600 amps $ 80.00
0ver 600 amps or 1000 voTTs see "8"- aEE
B
Ci ty
Supe
00
00
00
00
00
00
50
60
100
130
300
40
s
s
$
s
s
$
a)au_
-
C
D. Branch Circuits
New, Alteration or Extension Per Panel-
{
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
-Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Adnrinistrative Fee
1'0TAL
$ 40.00
s 40.00
s 20.00
s 36.00
5
: {ra)IIIiCIiTVIiD I}
aO
Job Number
G
200 amps or less /
20L amps to 400 amps
-40L amps to 600 amps
-601 amps to 1000 amps-
Over l-000 amps/volts
Reconnect Only