HomeMy WebLinkAboutPermit Electrical 1992-9-9
.
225 FIITH STREET The 1~lIowir.9 project ee submitted he. th.e~CAL
SPRINGFIELD, OREGON 97477 zoning, and doee not rDqulr p.C1flclanduse r?2 //J c-r>
INSPECTION REQUEST: 726_3'YWval. I \~I Ci ty Job Number '-7 (;.c.......; c::--
OFFICE: 726-3759 A,o"~ \ I )
VI VI L C 3 COMPLETE FEE SCHEDULE BELOI/
-1. LOCATION OF INSTALL1;T~./ . - . 7"kf
/.tJ1LJ jI/. "fl' ~riZedSig"atureill No" lledllsRtial-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
/"71'7,2.> 3 &:. '32.
eJ61 ~ 0'1)
JOB, DESCRIr:::ONj,1 ~
fkl/tllu:h;..~ 1'1~"'~
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expiration Date
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. 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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
r
Ovners Name~~
1J~
; r
'r.1 ~ .11
Address J 1174 N.
City~,~~ Phone
O~~ INSTALLATION
The 'installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
i}~:f~~~~~_____~ 5
DATE: -;7./'7'/9 2- .
RECEIPT #: r~/?"'/>
RECEIVED BY: ......;?I>7...,.../L
~.
200 amps or less
201 amps to 400 amps
Over 401. to 600 amps
Over 600 amps or 1000
D. Branch Circuits
S 40.00
S 55.00
S 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circui t t..--' $ 35,00 3'5. CH)
Each Additional
Circuit or vith Service
or Feeder Permi t J $ 2.00 ;2.';0
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
S 40.00
$ 40.00
$ 20.00
$ 36.00
<: 7. 00
-, ~S-
/.
?.fl.,~
;. -