HomeMy WebLinkAboutPermit Electrical 1992-5-14
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225 FlIT" STREET ~~~;:~g',-~~~~oes not 'blj\J1'" op,.;oll," an ELECTRICAL PERMIT APPLICATION tJ-j
SPRINGFIELD, OREGON 97477 apprO""!. CC q?1J7
INSPECTION REQUEST: 726-3769 2100\"" Ci ty Job Number} C;;~?r>-v,~:" '
OFFICE: 726-3759 c:; I L-
De',,,5j /l-J en tln::OHPLETE FEE ~CHEDULE BELOV
1. LOCATION OF INSTALLATI9!:!\I,ol'.z,.j SlgnallJ'O_ "')
/7;;0 S~m ~ ~ A. New Residential-Single or
Hu1ti-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
17 0 'J?;:.(" ~ I 0 10 Z..OO
JOB DESCRIPTION
,I) /)D /.3 CI !fUll T!:::.
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor /Gl, 5e)llvllTT C"n:
~ "
:. A,ddress 7 go /t.l nl VI Ii'tV P ~
rci ~y EV6e7>'Ir [phone ,tl'f- 'l6 ~ <-{
~- ~ -
rSup~rvisor License Number 62..1 - s
'------
0:-- - ,
[Exp}xa t i on Da t e
10-0,'1.-
e~Jtr Contr. Number 4L/1..1.. '1
-1...1...-'1L
(Expir;ation Date
--- ~_.
~g~a~tire of Supervising Electrician
~~/~../_. -
/ ../" "/ ~ 1'-
Olofners Name "J,M
Address qocrc" '"
Ci ty sp-ftJ
Havd)
H~' Il f?-d
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 0-/3..-12--
RECEIPT #: d (n ~7
RECEIVED BY: . ~. VLY.....sL-
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
One Circui t I $ 35.00 3S.~
Each Additional
Circuit or with Service
or Feeder Permi t / d- $ 2. 00 ~t./.~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5"'1. ~
~.?E.
11 (, /. q!S
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL