HomeMy WebLinkAboutPermit Electrical 1992-10-13
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225 FIITO STREET zonb~I, <"llIId!:lss_II~!'I"IilI1'M~IiR,liEeet!'lllncAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 or .",nil I f\ Il f\ rVt.l1l
INSPECTION REQUEST: 726-3769 2m';;''' OW/l_,___ Ci ty Job Number VI N( J-1'l'
OFFICE: 726-3759 to .,~
'.,'" '3,. I ICOMPLETE FEE SCIlEDULE DELOI/
l.f\lpCA,'gON OF I~ST.h-LgTIONf'u1~~iDnaIUfo I ~ ___-------"
.' I \ n:1 \ i\(WTJ \ ('7\ ::-:J.. A. Ne... Residen t ial-Single or
- " Multi-Family per d...elling unit.
~GAJ,. ~C)U~N rY1lorY' Service Included:
il( ),~,-r,~'\-b)\ UlJ Items Cost
\~ ~E~~or'Hil[].o_ 0 (lPJl~,
Permits are non-transferable and expire
if ...ork is not started ...ithin 180 days
of issuance or if ...ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorDl~ \~
Address ~q?) \'{\'N\l\ ~
City FQ:r~pflo . p~one 4-~~ W~
Supervisor D.cense Number ~q 1(15
\f).l.Q5
Constr Contr. Number' ,4'2.. q Lo
I::J . 10 ,q B--'
Expiration Date
Expiration Date
~'''''lq"~'~
10...:ers Name Lt ) I \ (A Jllr~ J ()jLQ ./.
Address V') l n~ \. 1\ - ,,-r:A s+
Ci ty S1'5nd j Phone
:_~r~_'
OVNER INSTALLATION
The installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent..
O\lners Signature:
~~~;~~------[(~5~(~~-~~---------
RECEIPT .:~ /~.n~
RECEIVED BY: ~/ oc). 7'''''
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd lIome or
Modular D...elling
Service or Feeder
D.
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne..., Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ...ith Servicf~ ~
or Feeder Permi t -Dcktl.OO
Miscellaneous (Service/feeder no~~nc u ~
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00