HomeMy WebLinkAboutPermit Electrical 2000-07-12CITY OF SPRINGFIELD, OREGON
approval.
Zoning
225 PI.ETE SlREEf,Date
SPRINGFIEID' OREGON 97 (Ffuihanzed Signature
INSPECTION REQIEsTz 726-3769
0FFICE: 726-3759
1 OF INSTALLATTONq 4r lL 9t.
IJGAL DESCRTFTION c> 8300o
JOB DESCRIPTION
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. CONTRACTOR INST
ELectrical Contract
ON ONLY
Address 0 n.{ t/ne4fl
pnone 5/t 'r/8q - ?aVt
rc-
PERHIT APPLICATION
City Job NunberOO -Olo KG'O (
3. COHPI,STE FBE SCEEDT'I,E BEIOS
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
The lollowing proiect as submitted has the tollowing
zoning, and-does not require specific land use
SPT iFIELf'
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home- or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
p1tror Relocat ion:
c.
-tL
or
s 8s.00
$ 1s.00
$ 40.00
Sum
10n
a56vE-
-{
Ci ty
Supervi
Expi ra t
Cons t r
Expirat
sor License Number
I
ion Dare /o/ oL
200 amps or less S 50.00
20L amps to 400 amps
-
$ 60.00
401 amps to 600 amps
-
q199.00
601 amps to L00O amps- $130.00
over 1b0o amps/volts
-
$300.00
Temporary Services or Feeders
Installation, Alteration or Relocat
200 amps''or less $ 40.00
201 amps to 400 amps
-
$ :?.00over 4b1 to 600 ambs
-
$ 80.00
0ver 600 amps or fOOO voTts see rrBrr
Branch Circuits
43ar ^/t-[
Contr. Number
1 Date
Signat
Owners Name
Address
Ci ty
trician
i
D.
I iaz-
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not i.ntended
for sale, lease or rent.
Ovners Signature:
DATE:
Phone 54 / - 3z/r/ - o Tzz t8il"tft,jl"l?tn
service
Nev, Alteration or Extension Per Panel
One Circuit s 3s.00
or Feeder Permit 00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0utline Light ing-
Limited Energy/Res I
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
2$
$40
$40
$20
$36
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BRECEIVED
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