HomeMy WebLinkAboutPermit Electrical 1997-09-15CITY OF SPT,,VGFIELD, OREGO'U
SPRINGFIELD, OREGON 97477
TNSPECTI0N REQUEST3 726-3769
OFPICE: 726-3759
1. LOCATION INSTALI,,ATTON
THIS PERMIT SHALL EXPIRE IFTHE ?fr,
AUTHORIZED
COMMENCED
UNDER THIS PERMIT IS NOT
OH IS ABANDONED FOR-. - ETECAtsICAL PERHIT APPLICATION
ANY 180 DAY PERIOD QtttulCity Job Nunbe;
3. COHPI,ETE FEE SCEEDT'I,E BELOS
o/
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 8s.00
SP,rINGFIELO
Serviqes or Feeders
Installation, Alterations
or Relocation:
D. Branch Circuits
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
Address
ci pnone'l4l -1,*3 L
Supervisor cense Number rbr6s
Expiration Date to -l-qg
Constr Contr. Number A37,4
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps
over 1000 amps/volts
-Reconnect 0nly
$ 1s.00
s 40.00
2. CONTRACTOR INSTALI,ATION ONLY B
Electrical Contractor C t S € \t't\,U.t[ .,(rfW .
00
00
00
00
00
00
50
60
100
130
300
40
$
s
$
$
s
$
200 amps'"or less $ 40.00
201 amps to 400 amps
-
$ 55.000ver 401 to 600 amps
-
$ 80.000ver 600 amps or 1000-voEs see tr[tr
$ 40.00
$ 40.00
$ 20.00
$ 36.00
q
ExpirationDate 9-t-{8
Signa of Supervising Electrician
0vners Name
Address
Ci ty Phone rl 4,1'-,tb,l g
OIINER INSTALI^ATTON
DATE:
Temporary Services or FeedersInstallation, Alteration or Relocation
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The installation is being made onproperty f ovn vhich is not intendedfor saIe, lease or rent.
Orners Signature:
Nev, Alteration or Extension per panel
one Circuit I $ 35.00 lS.OaEach Additional
Circuit or vith Serviceor Feeder Permit S $ Z.0O _g"OO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-Sign/0ut1ine Lighting-
Limited Energy/Re
Limited Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
0
RECEIYED
5
7,ost, .1,3
4+, L9