HomeMy WebLinkAboutPermit Electrical 1992-8-20
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225 FIITH STREET approve;' dt-. q')re~peclflc lan'E'ffCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 eJnino ,V . (] Y\\\c::....\
INSPECTION REQUEST: . 726-U~_9 "IT ; _ - City Job Number - V--l -.....J
OFFICE: 726-3759 - - (l) (/ rl
Aythori!cd Signalure (;13 ~ COMPLETE FEE SCHEDULE BELOII
1. LOCATIONOI;')INSTA,LLATION
5~o (~rT\1 \ IE W
I
\1(~~2fr40N ns~rx)
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
JOB DESCRIPTION ../ \ 1000 sq. ft. or less
1:l\l?\A-tL "1- ()l1nl Dr::; 6U,He1? Each additional 500
; .:If11~1 sq. ft or portion
Permits are non-transferable and expire o'~ thereof.
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for .Modular Dwelling
.180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorL, Ie.. '~A-l7h.!1J1:l...k
Addreslo~ \Jj, I\~" ~
City 0iPtto Phone 1~'7' U,3~
Supervisor License Number /4-135
ID/,lqz-
, .
Constr Contr. Number I?'~qq
I z.-ln 10 Z-
I
Signature of Supervising Electrician
X~/ /( dfi'~4
Owners Name ~OV\V\ nB.lSDVI
, Address 0DD r~ \J1 ElAl
Ci ty cS1ULn . Phone 14-1, .3Pxq
O\IN~ ~NSTALLATION
Expiration Date
Expiration Date
~
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~AT~~---~-~~~-:C1~------------
RECEIPT Ir: ~l . ~l:1~ )<.
RECEIVED BYi..;jJ){}~~
.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
Items Cost
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
New, Alteration or Extension Per Panel.
$ 35.00 32J1)
$ 2.00
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
5. SUBTOTAL OF ABOVE 3<5, DO
5% S ta te Surcharge I ,1 'J
TOTAL :;2h,-rC;
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit