HomeMy WebLinkAboutPermit Electrical 1992-4-1
Ihe, ing project as subml1tad has the ' ~
onmg, a'lC does not require speclft ,......... ~I" "'.. . ,;
225 FIITH STREET approval, C -ow ""eLECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonin 0..Q.J
INSPECTION REQUEST: 726-3769/1 [ar I"', City Job Number 92~.y~ /'
OFFICE: 726-3759 Dele "-1-' ''-1 L/
Authcrjzed Signature (!JJ 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~~ ~~~/~~, A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/?....?'''3'-?5'-7'-:2.., .:!'>Z&~--- Items Cost Sum
JOB DESCRI!'TION
/L~ /' (/if'C'P,/.7'A?Y.
Permits are non-transferable andiexpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ Installation, Alterations or
Electrical Contractor /~-VE')~~Relocation:
Address 41::2.""3-:<:>2 ~4-",,/?.-=~::r-.. 200 amps or less
, ."" - " - " - 201 amps to 400 amps
Ci ty 6",.;:'P.:::...)? Phone ~-,~ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number J~:/~~ Over 1000 amps/volts
Reconnect Only
Expiration Date
/07'..q;z
Constr Contr. Number /?)z. '/C?
Expiration Date L-2o...q'.2.,
;'"th~."dd~
Owners Name
Address
City
Phone
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 1I:
RECEIVED BY:
L/-~- ~2.
, C//.;;.rt;e.,
/L~"""'~,
'"r
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
~$ 35.00 ~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t /
2.00
-z
$
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~-z;
5% State Surcharge /.~
TOTAL 5P? ~