HomeMy WebLinkAboutPermit Electrical 1992-11-16
225 FIITH STREET
SPRINGFIELD, OREGON
!
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769 Z')'li ',.., ( DR ''''",10 LlS()
CC':'''1_1G6~;;-'J:'''-'''GQ~E FEE SCHEDULE BELOV
1. LOCATION OF IN~TALLATION A:..:i ~-I"e --L~
It) M ~,~..-'~"";"'d 8;GI~'"rtl'Yi)~NeW .~esid.~nt i~~_-=-~j.~gh~__.~Q.L.,--;:.,-
..._00 ,_~' -..' .d' -, .-. He.:l.U-Famlly per: dwell1ng!-lnlt.,.. A
I rfO~QS1:~b .__. Ser"I~i~~~'-.Item~ :~~~h- c, Sum
.wBl1q~S~~IONr J.../ _ _ A 1000 sq.ft. or less $ 85.00
~ l ~~ Each additional 500
~ sq. ft or portion
Permits are non ransferable and ~pire thereof $ 15.00
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
/Sd5
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Services or Feeders
Installation, Alterations or
Relocation:
B.
Electrical ContractorOREGON ELECTRIC S~RVICE
Address~7Cl G.:Jjd.P-P--
City ~j'-1/~ Phone~4~ 10q/
superv~or0icense Number ~9~ ~
Expira tion Date Irt) /q,:\:'
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number ~X'OO I
9(q&;
Expiration Date
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 liB"
Signa~4re of Supervising Electrician
~ ;:k (]A~_ (!) flj)f1A/
-' (
Owners Nam~~~(.~
Address {p1~1, (lj}JllJl
City41.Yrl.. Phone-.Jth -11m
OVNER INSTALLATION
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit \I
$ 35.00
$ 2.00 j(P ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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
Owners Signature:
1(0 LD
go
/ (p $10
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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RECEIPT #: ~~""." \ ()/n ((7'(:)
RECEIVED BY: ( . ~I~; \ ~
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