HomeMy WebLinkAboutPermit Electrical 1996-12-04CITY OF SPR OREGO'U
,.; .
Permi ts ar
if vork is
of issuanc
180 days.
ble and exPire
thin 180 daYs
suspended for
SPFIIFTjFIELE,
amps
Only
$ 1s.00
s 35.00
225 FIFTS STREET
SPRINGFIELD, OREGON
INSPECTION REQIIEST:
OFFICE: 726-3759
97477 ,. .
726-3769
INSTALLATION1
3. COUPI^ETE FBE SCMDULE BELOV
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
ELECTRICAL PERUIT CATION
o b Number UI 313
Service Included:
LOCATION OF
-5s5 s .1
JOB DESCRIPTION
e non-transfe ra
Items Cost Sum
l $ Bs.oo 8S:1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or ess
not started vi
e or if vork is
2. COMRACTOR INSTALI.,ATION ONLY
Electrical Contractor
Address -> /3.,
Ci tY PhoneS\St ilt I
Supervisor License Number .\-<
B
201 amps t
40L amps t
601 amps t
Over 1000
Reconnec t
00 amps
00 amps
000 amps_
/vo1 ts
s 40.00
$ s0.00
$ 60.00
$100.00
s130.00
s300.00
s 40.00
I
4
6
1
o
o
o
Expiration Date -.q?
Constr Contr. t'tumber Stoo t
Temporary Services or Feeders
in"["ff"iion, Alteration or RelocationC
)-\
Expiration Date q,-\q-c)O
Si ture of SuPervising Electrician
Q-.
200 amps''or less,oi ;;; to 4oo amps
-Over 401 to 600 amps
-
Over 600 amps or 1000 volts
Branch Circuits
s
$
$
se
40
55
80
e
.00
.00
.00ilB'' aE6tt
,|,lL.-v
0vners Name
Address
Ci ty Phone)-ao \q
D
Nev, Alteration or Extension Per Panel
OgNER ALLATION
$ 2.00
E. Miscellaneous (Service/feeder not included)
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
-Each installation
Pump or irrigation
-
Sien/Outline Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
The installation is being made on
p.op"rtY I ovn vhich is not intended
ior sale, lease or rent'
0vners Signature:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RECEIVED
5
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