HomeMy WebLinkAboutPermit Electrical 1992-2-10
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Sf-fIINCFIELD
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225 FIITH STREET ~CAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 .,...,#f! q-:>o.<:>--T
INSPECTION REQUEST: 726-3769 ';;::.fiiJ> Ci ty Job Number Z-Dc-;o /
OFFICE: 726-3759 ..~~
.~;;",,~3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF IJlSTALLAT~~' ~
/ !3' Soul'" A j.O~"il-I"". w Resid -Single or
""~ ~. ult mily per dwelling uni t.
LEGAL DESCRIPTION Included:
i.oeys 7AIIER/I./ /7D'?-' . ~ Items Cost
JOB DESCRIPTION I~ 1000 sq.ft. or less $ 85.00
).JlJRi!' /JA/JboA/ t:bol/!"J:! Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
\S"o\3 ~ 3~4-S
CONTRACTOR. INSTALLATION ONLY
Electrical Contractor L 111 moRal S E./~c/.
Address 4e~ SH€U& ~7R.
City Sfy/) Phone 741'J-oR/1
Supervisor License Number 300'- .s.
Expiration Date ID/I / Cj J
Constr Contr. Number Q/19 f?
Expiration Date
Signature of Supervising Electrician
-,;k,~~ ;O~~ .
Owners Name J A'i//] z., . A-\A J V\ V\
Address W (-YD-{. =::z;tfi
City SpPLd Phone l'
OVNER INSTALLATION
'1-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: rlo--1-v
RECEIPT II: 0/ ,/
RECEIVED BY: 11;\/\ ~
Sum
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 36
"C
-:--
$ 2.00
not included)
$
$
$
$
~5'
1,7 r:;
/'5,~ -;-, t:; --,
'- -'
40.00
40.00
20.00
36.00