HomeMy WebLinkAboutPermit Electrical 1993-4-29
,.'~ ~
r~ ;
~)1C-" ~':('. .
"ti'.""Q, :0$'" ."Ct \Z- ~
r{o~\C;;-1 O. t> -_ \1 ~ ~,.
225 FIFTH STREET . ~'(\~\;~\~~:f .. __~/ /"BtECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747Y~{l'?~o (i~"c;""""-l()) ~/ . ql(lOl LJ\
INSPECTION REQUEST: 726-3769 ~o \t.-~'> . X . City Job Number CJ 1\
OFFICE: 726-3759 tt.\........- 'J..\j.~e/ ' , .'. .
00-\0/0,?;;\CiJf;0' , 3. COMPLETE FEE SCHEDULE BELOV
1. ~QC..AnON OF IN..~LATIQ~ l...~off!J
. I( J\ \ \ Q \ .14 u, 0 ~~ ~ ~ Q ~ A.
,\\,kE~~S~P'!ION N j?fi;V\
I '{ "\'" ,,:},~)t" L\ c.r-i.-."tl
~ - ,
\. -!QP, DES~ION' (\ {\ . 'n \ JJ
\.~1'{ ~Q..) \:J..(\r{\."-~LV \'<LOL\ j \ \Q-\ljJ
permit~are non-transfera~e and expire
if work is not. started within 180 days
of issuari~e or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Elec t deal Con tractor _.JlA u~ M M&::-/2..
Address 353 S, h~n+ PI-I
Ci ty :5PPLiJ ,to/(.' Phone 7t1l1-/lbS
. .9747'8' ":257n'
Supervisor Llcense Number~. 'f S
Expir~tion Date 3-95
Cons t r Con tr. Number 5? 9 Lj if3
Expiration Date '3"': 9t/
.,
Signat~reo~)fperviSing Electrician
&;( ff~-._..
Owners Na:~ ~fu'\\~ ~~~ft~
Address ffi) . QJ\ O~-'(i\~(\T
Ci ty $!)J\ \~U'tv. J Pho~eA''j'):. :;40 -
~~~ ~zt
OVNER INSTALiATloN~ .. r \-lS
The installatiori is beirig made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~---~;~l1~Ll1~---~-=-=~------
RECEIPT. 1 : L Y"".' _ -\)~ 'd.~-l?)
RECEIVED BY: C-1 t-.L...Jul-.l- . -"
New Residential-Single or
Mul~i-FamilY per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation,:
200 amps or less
201 amps to 400 amps
.401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
E5
d
$ 15.00 {-)()
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, .Alteration or Extension Per Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited ,Energy/Res
Limited Energy/Comm
One Ci rcui t .
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B" above
$2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00,
I
IIS~
,,-~',ll~
/~cJ .rlS