HomeMy WebLinkAboutPermit Electrical 1992-11-24
an. following project as submitted hes a 0 .
"oning, an, ~ does not re~re)peClhC land us
225 PIITO STREET . approval. 'jJ ELECTRICAL
SPRINGFIELD, OREGON 97477 ZO"^~1i~
INSPECTION REQUEST: 726-3769 Date 0.J 'J\)./\ Ci ty Job Number
OFFICE: 726-3759 - ..,
Authorized Signat~e
1. ; L~C~TWN M A~T~LLA~!.QN I II n .
1/!,Y6/ ~Ao1~ A.
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if work is n started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL ION ONLY
. ~c\~S
AddreS~~\ 00 ~ rf<. ~ -~
Ci tyJ) ;QQAuPhone4~('RqQ
,supervisor {lcense Number d9!J.pS
Expiration Date In . f. C(~ '
Constr Contr. Number '~~. ~
IQ~m .q~,
Electrical Contrac
Expiration Date
Sig~;Su~trician
owner( Nallie (\ t TI.-n S~~ ') .
Address InS o o Jrt,1l.1Ul X~.-/
City ~Ui 1rhone-.1g1~ <6acr
. \
OVNER I ALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~~--jT7~~-~L1f~~~-------------
RECEIPT Ii: c /J. (()$<' F-'.
RECEIVED nr: ---NJ.YlI ./
~) -
lr. ,..... ,,\..ur.lJULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
q~1 rs'dD
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
or less
to 400 amps
to 600 amps
to 1000 amps
amps/volts
Only
200 amps
201 amps
401 amps
601 amps
Over 1000
Reconnect
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
sD
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D. , Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "nO above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servicen
or Feeder Permit loZ
$ 35.00
$
2.00 .Q4
E. Miscellaneous (Service/feeder not included)
-Each installation
rump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '74.W
5% State Surcharge :">. '70
TOTAL 17'7. rlLJ