Loading...
HomeMy WebLinkAboutPermit Electrical 1992-7-9 r=- - -- ~ ~","..........-Ia.:.LU , ,,, .' . tt, 225 FIITH STREET i{}fjifl~prfJ/4cttttlBubrnin ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 IlfitiffNlJi.. ~-'8qu/",. Gd~lne1ollowl, q n()q' A ( INSPECTION REQUEST: 726-3769 10~/ID ~ol)lllNumber (-J.. I OFFICE: 726-3759 h !- Oete_ '. 3. ~u!lfbETE FEE SCHEDULE BELOV 1. LO~TION OF INSTAL~IO~~, / , (l O~ n ,~ aJ\Ji J7"'re Residential-Single or u' . er dwelling uni t. Service Inclu ed: I rl~~~~{i-~ 04lr2rf) &O~~DES~WfiJ. permi~s l::~ 'non~~e~~~d expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY E!ee:f Electrical Contractor 2" Ijd~ r Address .t 9'3 1fLoj.'J III ~ Phone lj'l:5 - () '1;1..:4.. City~,.~e.. Supervisor License Expiration Date Number :2 9' 7t:) S /t) - /- P.:J- Constr Contr. Number () '1.2. 'f /... Expiration Date_ /..2- /,tJ~ y?.... Si"'~"P~~"" Owners Nanie\} :>\\f\ N"\'i\ 0 Qno Address f\\n S r'\. ,.3\ ~~_oo-t Ci ty ~4 ~ .... Phone OVNER IN'JALLATION The 'installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DA;;~----i)-~l1T~~;:J--':;~~------------- RECEIPT #.' A--.I""lA~ RECEIVED im /')(J ~Q../ . , - 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder Items Cost Sum $ 85.00 $ 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 \m l?-.rJ 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 D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t 4f,) $ 2.00 ill no t included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ , Sf orlC() I P-..NJ ;-''''l'l~.C(') 40.00 40.00 20.00 36.00