HomeMy WebLinkAboutPermit Electrical 1987-08-04SPRI]\lGFIELD
225 FTFTE STREET
SPRINGFIELD OREGON 97
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ELEST"ICAL PERHIT APPLICATION
City Job Number ? ZlZre
3. COHPLETE FEE SCEEDUIJ BELOII
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
$ 8s.00
the followi
rnd uso
,
INSPECTION REOIIEST: 7
OFFICE: 726-3759
TION OF INSTALLAU 3s*ot Pr-
TION1. LoCA
Ls?S
I.,EGAL DESCRIPTION
JOB DESCRIPTION
Qom aec-I m^rA*-o
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. COMRACTOR INSTAII..ATION ONLY B
EIec tricaL Contrac tor Eue,erotZ E*ClLlL
Address I AO ox-lR)€
Ci ty SsA &.<er*i,A- PhoneizrtU-Srro I
Superv i so r License Number lDqZ
Expiration Date tD r-q8
C
Constr Contr. llumber q
Expiration oate 3- I 1-Q 8
Signature of Supervising Electrician
0vners Name
Address
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
-40L amps to 600 amps _
60L amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
200 amps or fess
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000ETTs
40.00
55.00
80.00
ee uB" aEiT6-
not included)
40.00
40.00
20.00
36.00
ot)
s 1s.00
$ 40.00
$ s0.00
$ 60.00
s100.00
$130.00
s300. 00
$ 40.00
$
$
$
s
oo3
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Ci ty @e72*772
OIJNER TNSTALLATION
One Circuit S 35.00
Each Additional
Circuit or vith Service, ,rAor Feeder Permi t I $ 2.00 C::
The instal]ation ls being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation _ $
sign/outline Lighting- $
l,imi ted Energy/Res $
Limited Energy/Comm $
E
RECEIVED
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