HomeMy WebLinkAboutPermit Electrical 1993-1-11
I ('"!j. Img proJ""ct 'lS subr.Wlecl h::t";. the fol!o\'Vln~
ZOl1ll1y, .:!nd does not requIre s03c,flc land use
app:o'ial
225 FIITH STREET rlf\ D (
SPRINGFIELD, OREGON 97477 Zonrng_~.!,\_'f-- L
INSPECTION REQUEST: 746,)769 \.:.1/- 012
OFFICE: 726-3759 r'
Aulhorlzea Signature -.., :h-GGMJ1.LET,E-FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION
I 't DO Ccf--O e,vNI ~L
')
\~Gu2)~~~4 D~1()O
JOB DESCRIPTION
Lu,,", Vol-l~'L <;;(',vr,J~ S-;\~~
~
Perm1ts are non-transferable and exp1re
1f work 1S not started with1n 180 days
of 1ssuance or 1f work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electr1cal Contractor
A\::>\
Address I S'''-'', ?r~r- \
)
Ci ty E vy-_"'-
Superv1sor License Number
';1;<;2 ::'5L/.:-
Phone
EYp1ratlon Date
/0-/-1--S
Constr Contr. Number ">'7 ""7 "ILl
Expiration Date
'(-7 <,-;<,
Signature of Supervising Electrician
p j; ----1~
Ovners Naf'lellLKh 7" lJ. / /""'-i j /, 1Ic7-.R
f/,...AX (c~~ C""-~ Cr
Address
C1ty Phone
OVNER INSTALLATION
The Installation 1S be1ng made on
property I ovn wh1ch 1S not 1ntended
for sale, lease or rent.
)
Owners Slgnature:
DATE:
RECEIPT .
RECEIVED BY..:
~ ~------------------
-i~9()
C1 ty Job Number
A.
New Resident1al-Single or
Mult1-Family per dwellIng
Serv1ce Included:
unit.
Items
Cost
Sum
1000 sq.ft. or less
Each add1t1onal 500
sq. ft or port10n
thereof
Each Manuf'd Home or
Modular Dwelllng
SerV1ce or Feeder
$ 85.00
$ 15.00
$ 40.00
B. SerVIces or Feeders
Installat1~n, Alterations or
Relocatlon:
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 Serv1ces or Feeders
Installat1on, Alterat10n 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, Alterat10n or Extension Per Panel
One CHCUl t
Each AddltIonal
CIrCUIt or WIth SerVIce
or Feeder Permit
$ 35 00
$ 2 00
E. MIscellaneous (ServIce/feeder
-Each InstallatIon
Pump or IrrIgatIon
SIgn/Outl1ne L1ghtIng
LImIted Energy/Res
~Ited Energy/Comm')
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not Included)
$ 1,0 00
$ 40 00
$ 20.00
'yJ $ 36 00
'- ":3 G .Or)
- I p:;~
;-1'J ~U
3bP>