HomeMy WebLinkAboutPermit Electrical 1995-05-10225 FIFTH STREET
SPRTNGFTELD, oREGoN
INSPBCTION REQTIEST:
OFFICE: 726-3759
zonilrg, and doeE
approval,
97 477
726-3769
tu
1 OF INST
TEGAL DESCRIPTION
D
JOB DESCRIPTTON
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspented for
180 days.
2. COMRACTOR INSTALI..ATION ONLY
Electrical Contractor CIftE$0ii EtE[Tfi!{ SERVITE
b
d
A
. COI{PLETE FEE SCMDULE BELOS
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
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
C Temporary Services or Feeders
fnstallation, Alteration or Relocation
40.00
55.00
80.00
SPllINGFIELO
B
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
%
200 amps or less
201 amps to 400 amps
-0ver 401 to 600 amps
Over 600 amps or 1000 voTt
The following proiect as submftted has lhe
not require epecific Isnd#LftCmrcAl pERilfT AppLfCATfoN
L Ci ty Job Nunber
Sig
Address Qo t3 a r 5A3)
Sum
ee rrBrr aEF
s s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
Ci ty
Supertisor icense Number
Expiration Date
Constr Contr. Number
Expiration Date
rrrone 3.{3 ' lb? (
-s
oo
q 1LqI $
s
$sssing Electrician
lza^ -
Owners Name
Address J6H-=e_- iV7_o Lt #^(d 1ZL-7aL 7
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ 3s.oo 353Each Additional
Circuit or vith Serviceor Feeder Permit S 2.00
E. Miscel-l-aneous (Service/feeder not included)
-Each installation
Pump or irrigation $Sign/Outline Lighting- $Limited Energy/Res
-
$Limited Energy/Comm $
a cao=)\,s
Ci ty Phone
OTINER TNSTALLATION
The installation is being made on
property f ovn vhich is not intended
for saIe, Iease or rent.
Ovners Signature:
DATE:
40.00
40. 00
20.00
36. OO
BRECETYED
nt_!-A .$ qao la\ r \q.{
C'TY OF