HomeMy WebLinkAboutPermit Electrical 1992-11-25
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
24.89 ~;'d"'::' bbvE
LEGAL DESCRIPTION
l'7o'g 2.7 /2- ~2.~t7ZJ
JOB DESCRIPTION
,..~~..... <::'2.1..' -
~~ ,-~.JI~.' .
Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance 'or if work is' suspended for
180 days.
::Jo1-'IIN(;,r-Il.::LD
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cas t
.1000 sq. ft.' or less
,Each additional 500
~q. 'ft or portion
thereof
Each Manuf'd Home or
Modular.Dwelling
Service or Feeder
,Sum
,
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. ,Services or Feeders
'Installation, Alterations or
Electrical Contractor ~r)- e(",- e-/ Relocation:
Address 41d- 'J/~ /7c/G,~?/b' d(,/V
/'
Ci ty I/A-~?/a/) 'Phone A""7'C- 3"5'5/,71-
Supervisor License Number /!5) / 5
Expiration Date /0 - 9.::L .
Constr Contr. Number /~j/t7
Expiration Date 0-'-?O - rr
Sign~re of/Juper;ising Electrician
~~,h
~
Owners Name ~~....... L/,r..--.r-~"'E-,"--J_~C./ .
Address
"of,...'- ~
City Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
11-;2..5' -7' L.
~/9;9
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DATE:
=\,,1,11"[ 11:
RECEIVED BY:
200'amps or les~
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps'
Over 1000 amps/volts
Reconnect Only
$ 50.00 5o.~
$ 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 Circui ts
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One,Ci.rcuit
'Each Additional
Circuit or with Service
or Feeder Permi t
$ 35.00
$ 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
5% State Surcharge
TOTAL
~n.b-O
2:>D
52...$"0